KENNETH REED MCMILLAN (NPI# 1083734826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083734826 |
| Entity Type | Individual |
| Full Name | KENNETH REED MCMILLAN |
| Credential | MD |
| Practice Address |
2020 Bloomington Ave Minneapolis MN 55404-3073 |
| Mailing Address |
5618 32nd Ave N Crystal MN 55422-2604 |
| Practice Telephone | 6128131610 |
| Practice Fax Number | 6128131612 |
| Mailing Telephone | 7635331255 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 41394 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811148406 | Kenneth Arthur Mcmillan | Dentist | 2790 Gardenwood Ct Sw, Lilburn, GA 30047-4784 | 2008-10-01 |
| Street Address |
2020 BLOOMINGTON AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-3073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154572071 | Sue Anne Schaber | Registered Nurse | 2020 Bloomington Ave, Health Star, Minneapolis, MN 55404 | 2008-10-09 |
| 1700064714 | Fond Du Lac Reservation Business Committee | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2020 Bloomington Ave, Minneapolis, MN 55404-3073 | 2008-02-01 |
| 1497958177 | Overcomers Outreach Ministries | Health Maintenance Organization | 2020 Bloomington Ave, Minneapolis, MN 55404-3073 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857230 | Minneapolis Integrative Medicine Center, LLC | General Practice | 575 9th St Se Ste 52, Minneapolis, MN 55414-1399 | 2020-10-05 |
| 1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
| 1487947248 | Ken Rosenblum | General Practice | 1418 Mount Curve Ave, Minneapolis, MN 55403-1010 | 2011-05-25 |
| 1235469594 | Andrej John Szabad | General Practice | 1615 E River Ter, Minneapolis, MN 55414-3676 | 2010-01-10 |
| 1861725335 | Chs Tennessee Medical, PC | General Practice | 380 Ameriprise Financial Ctr, Minneapolis, MN 55474-0003 | 2009-09-15 |
| 1477721157 | Akbar Sajady | General Practice | 4400 Oliver Avenue North, Minneapolis, MN 55412-1123 | 2008-02-14 |
| 1083740393 | Glen Joseph Booth | General Practice | 1089 25th Ave Se, Minneapolis, MN 55414-2637 | 2007-02-23 |
| 1811934763 | Neighborhood Healthsource | General Practice | 2301 Central Ave Ne, Minneapolis, MN 55418 | 2006-06-01 |
| 1871101238 | Fairview Express Care | General Practice | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-07-21 |
| 1811530256 | Sme Minnesota P.C. | General Practice | 100 N 6th St, Minneapolis, MN 55403-1505 | 2019-10-17 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on KENNETH REED MCMILLAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.