KENNETH N KEPHART (NPI# 1619066545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619066545 |
| Entity Type | Individual |
| Full Name | KENNETH N KEPHART |
| Credential | MD |
| Practice Address |
2615 East Franklin Avenue Minneapolis MN 55406 |
| Mailing Address |
420 Delaware St Se University of Minnesota Physicians Minneapolis MN 55455 |
| Practice Telephone | 6123330770 |
| Mailing Telephone | 6123330770 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
26265 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 32G78KE | 01 |
| MN | MEDICA-PRIMARY | 01-04725 | 01 |
| MN | U CARE | 100544 | 01 |
| ARAZID | 934694 | 01 | |
| MN | HEALTH PARTNERS | HP16524 | 01 |
| MN | PREFERRED ONE | 0628004 | 01 |
| MN | FAIRVEW | 032003 | 01 |
| MN | MEDICA-CHOICE | 01-04725 | 01 |
| Street Address |
2615 EAST FRANKLIN AVENUE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063519437 | Joel Wegener | Family Medicine | 2615 East Franklin Avenue, Ufp-smiley's Clinic, Minneapolis, MN 55406 | 2006-09-20 |
| 1679655179 | Karin Lynn Schurrer-erickson | Nurse Practitioner | 2615 East Franklin Avenue, Ufp Smiley's Clinic, Minneapolis, MN 55406 | 2006-10-20 |
| 1003999582 | David Jonathan Satin | Family Medicine | 2615 East Franklin Avenue, Ufp - Smiley's Clinic, Minneapolis, MN 55406 | 2006-10-20 |
| 1437230836 | Carolyn Denise Sparks | Family Medicine | 2615 East Franklin Avenue, Ufp Smiley's Clinic, Minneapolis, MN 55406 | 2006-10-18 |
| 1487735619 | Steven Stovitz | Family Medicine | 2615 East Franklin Avenue, Ufp-smiley's Clinic, Minneapolis, MN 55406 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286221 | Hoa Bui | Pharmacist | 4547 Hiawatha, Minneapolis, MN 55406 | 2020-08-17 |
| 1184263253 | Carrie Shannon Nightshade | Acupuncturist | 3706 E 42nd Street, Minneapolis, MN 55406 | 2020-01-06 |
| 1164060059 | Deborah Owen | Acupuncturist | 3706 E 42nd St, Minneapolis, MN 55406 | 2019-12-11 |
| 1194290593 | Noelle Therese Wolf | Counselor | 2637 27th Ave S # 229, Minneapolis, MN 55406 | 2018-10-11 |
| 1255819819 | Ayan Osman Ali | Behavior Technician | 3355 Haiwatha Ave Suite 100, Minneapolis, MN 55406 | 2018-08-04 |
| 1881188597 | Lydia Joy Allison | Massage Therapist | 2933 29th Ave. S., Minneapolis, MN 55406 | 2018-06-15 |
| 1497261770 | Carroll Lee Beaty | Massage Therapist | 2801 42nd Ave. So., Minneapolis, MN 55406 | 2017-12-21 |
| 1578082798 | Capitol Cafe LLC | Home Delivered Meals | 2417 E Franklin Ave, Capitol Cafe, Minneapolis, MN 55406 | 2017-09-19 |
| 1851823942 | Safia Abdulkadir Mohamud | Contractor | 2740 Minnehaha Ave Suit 100, Minneapolis, MN 55406 | 2017-03-29 |
| 1881051944 | Sos Transportation LLC | Non-emergency Medical Transport (VAN) | 3355 Haiwatha Ave Suit 100, Minneapolis, MN 55406 | 2016-01-20 |
| Find all providers in zip 55406 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588137640 | Wayforth Clinical Services LLC | Family Medicine | 401 Harding St Ne Ste 200, Minneapolis, MN 55413-2801 | 2019-01-10 |
| 1811139264 | Charles D Townes | Family Medicine | 16 Meadow Ln S, Minneapolis, MN 55416-3403 | 2009-04-01 |
| 1447203187 | Ruth O Szajner | Family Medicine | 701 Park Ave # S5, Minneapolis, MN 55415-1623 | 2006-05-17 |
| 1093131419 | Geriatric Services of Minnesota, LLC | Family Medicine | 3433 Broadway St Ne, Suite 300, Minneapolis, MN 55413-1761 | 2014-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942766423 | Moments Palliative Care LLC | Family Medicine | 820 Lilac Dr N Ste 210, Golden Valley, MN 55422-4754 | 2019-02-20 |
| 1891174751 | Hra-iq PC | Family Medicine | 4600 W 77th St, #355, Edina, MN 55435-4909 | 2015-05-26 |
| 1477943421 | Optum Medical Services of Colorado, P.C. | Family Medicine | 13625 Technology Dr, Eden Prairie, MN 55344-2252 | 2015-01-29 |
| 1093702235 | Asma Khalid | Family Medicine | 621 S 4th St, Le Sueur, MN 56058-2203 | 2005-10-03 |
| 1750917985 | Marisa L Felker | Family Medicine | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2020-03-19 |
| 1588028161 | Joshua M Baruth | Family Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-04-08 |
| 1528458486 | Optum Medical Services of California, P.C. | Family Medicine | 13625 Technology Dr, Eden Prairie, MN 55344-2252 | 2015-01-30 |
| 1346657160 | Fairview Health Services | Family Medicine | 3400 W 66th St, Suite 290, Edina, MN 55435-2111 | 2014-07-14 |
| 1952669525 | Kasey Lynn Kapella | Family Medicine | 3605 Mayfair Ave, Hibbing, MN 55746-2935 | 2012-05-02 |
| 1871866095 | Neha Sharma | Family Medicine | 1885 Plaza Dr, Eagan, MN 55122-2979 | 2012-02-18 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55406 |
Please comment or provide details below to improve the information on KENNETH N KEPHART.
| 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.