Kenneth N Kephart, MD | |
2615 East Franklin Avenue, Minneapolis, MN 55406 | |
(612) 333-0770 | |
Not Available |
Full Name | Kenneth N Kephart |
---|---|
Gender | Male |
Speciality | Family Medicine - Geriatric Medicine |
Location | 2615 East Franklin Avenue, 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 |
---|---|---|---|
1619066545 | NPI | - | NPPES |
032003 | Other | MN | FAIRVEW |
01-04725 | Other | MN | MEDICA-PRIMARY |
01-04725 | Other | MN | MEDICA-CHOICE |
32G78KE | Other | MN | BCBS |
100544 | Other | MN | U CARE |
934694 | Other | ARAZID | |
HP16524 | Other | MN | HEALTH PARTNERS |
0628004 | Other | MN | PREFERRED ONE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | 26265 (Minnesota) | Primary |
Entity Name | Fairview Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
Mailing Address | Practice Location Address |
---|---|
Kenneth N Kephart, MD 420 Delaware St Se, University Of Minnesota Physicians, Minneapolis, MN 55455 Ph: (612) 333-0770 | Kenneth N Kephart, MD 2615 East Franklin Avenue, Minneapolis, MN 55406 Ph: (612) 333-0770 |
David Jewison, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 University Ave Se, Minneapolis, MN 55414 Phone: 612-884-0406 | |
Kristopher Hartwig, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-725-2000 | |
Emily Funk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-262-5000 | |
Rachel Ann Feliciano, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2001 Blaisdell Ave, Minneapolis, MN 55404 Phone: 952-993-8000 | |
Ms. Stephanie Grady, PA & NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 410 Church St Se, Minneapolis, MN 55455 Phone: 612-625-2612 | |
Lee W Rock, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4730 Chicago Ave, Minneapolis, MN 55407 Phone: 952-883-6805 | |
David Jonathan Satin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2615 East Franklin Avenue, Ufp - Smiley's Clinic, Minneapolis, MN 55406 Phone: 612-333-0770 |