Kenneth M Kiberenge, MD | |
420 Delaware Street Se Mmc 294, Mmc 294, Minneapolis, MN 55455 | |
(612) 624-2497 | |
Not Available |
Full Name | Kenneth M Kiberenge |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 420 Delaware Street Se Mmc 294, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023672151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 326819 (New York) | Primary |
Entity Name | Montefiore Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
Mailing Address | Practice Location Address |
---|---|
Kenneth M Kiberenge, MD 420 Delaware Street Se, Mmc 294, Minneapolis, MN 55455 Ph: (612) 624-2497 | Kenneth M Kiberenge, MD 420 Delaware Street Se Mmc 294, Mmc 294, Minneapolis, MN 55455 Ph: (612) 624-2497 |
Dr. Matthew Larson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 Park Ave # P4, Minneapolis, MN 55415 Phone: 612-873-3000 | |
Brian Tolly, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-725-2000 | |
Vinod Kumar, Anesthesiology Medicare: Medicare Enrolled Practice Location: 420 Delaware Street, Se, B515 Mayo Memorial Building, Minneapolis, MN 55455 Phone: 901-317-2162 | |
Robert E Mcklveen, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302 | |
Bryce C. Beverlin, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302 | |
Nathan Wei-jim Liu, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 420 Delaware St Se, Mmc 195 Mayo, Minneapolis, MN 55455 Phone: 612-625-6483 | |
Dr. Michael H Wall, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 Harvard St Se, University Of Minnesota Medical Center, Minneapolis, MN 55455 Phone: 612-273-3000 |