Kenneth Dale Holmen, MD is a
Anesthesiology physician based in St Cloud, Minnesota. Kenneth Dale Holmen is licensed to practice in Minnesota (license number 24794) and his current practice location is 1406 Sixth Ave N, St Cloud, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(320) 240-2157.
NPI number for Kenneth Dale Holmen is 1083661813 and his current mailing address is 1406 Sixth Ave N, St Cloud, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083661813.
Physician's Profile
| Full Name | Kenneth Dale Holmen |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 1406 Sixth Ave N, St Cloud, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083661813
- Provider Enumeration Date: 05/27/2006
- Last Update Date: 02/06/2015
Medical Identifiers
Medical identifiers for Kenneth Dale Holmen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083661813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 24794 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Dale Holmen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenneth Dale Holmen, MD
1406 Sixth Ave N,
St Cloud, MN 56303-1900
Ph: (320) 240-2157 | Kenneth Dale Holmen, MD
1406 Sixth Ave N,
St Cloud, MN 56303-1900
Ph: (320) 240-2157 |
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