Kenneth B Weddell (NPI# 1104884147, PAC ID# 2668600057) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1104884147 |
| PAC ID by PECOS | 2668600057 |
| Professional Enrollment ID | I20140616000248 |
| Full Name | Kenneth B Weddell |
| Organization Legal Name | KENNETH B WEDDELL PLLC |
| Address |
8900 Penn Ave S Bloomington MN 55431-2068 |
| Phone Number | 9528847706 |
| Gender | M |
| Graduation Year | 1986 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 6406084896 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8900 Penn Ave S, Bloomington, MN 55431-2068 | 9528847706 | KENNETH B WEDDELL PLLC |
| 8900 Penn Ave S, Suite 307, Bloomington, MN 55431-2068 | 9528847706 | KENNETH B WEDDELL PLLC |
| Organization Legal Name | KENNETH B WEDDELL PLLC |
| Physicians | 1 |
| Street Address |
8900 PENN AVE S |
| City | BLOOMINGTON |
| State | MN |
| Zip | 55431-2068 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Lamppa | Chiropractic | 8900 Penn Ave S, Suite 100, Bloomington, MN 55431-2068 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A White | Clinical Social Worker | Catalyst Mental Health Sbc | 8120 Penn Ave S, Suite 400, Bloomington, MN 55431-1311 |
| Cassandra D Mcguire | Chiropractic | Chirocenterbloomingtonpa | 8120 Penn S Ave, Suite 525, Bloomington, MN 55431-1312 |
| Eric A Schmitt | Chiropractic | Chirocenterbloomingtonpa | 8120 Penn S Ave, Suite 525, Bloomington, MN 55431-1312 |
| Kelsey M Perreault | Chiropractic | Chirocenterbloomingtonpa | 8120 Penn S Ave, Bloomington, MN 55431-1312 |
| Richard J Hruby | Osteopathic Manipulative Medicine | 8120 Penn Ave S, Suite 440, Bloomington, MN 55431-1326 | |
| Scott R Corbett | Osteopathic Manipulative Medicine | 8120 Penn Ave S, Suite 440, Bloomington, MN 55431-1326 | |
| Cindy S Libman | Clinical Social Worker | 8120 Penn Ave S, Suite 455, Bloomington, MN 55431-1337 | |
| Colette C Kuhn | Psychologist, Clinical | Chjl LLC | 8120 Penn Ave S, Suite 252, Bloomington, MN 55431-1358 |
| Hoinu T Bunce | Psychologist, Clinical | Chjl LLC | 8120 Penn Ave S, Suite 252, Bloomington, MN 55431-1358 |
| Jason M Fredericks | Chiropractic | 8200 Humboldt Ave S, Suite 204, Bloomington, MN 55431-1432 | |
| Find all physicians in zip 55431 | |||
| City | BLOOMINGTON |
| Zip Code | 55431 |
| Specialty | ORAL SURGERY |
| City + Specialty | BLOOMINGTON + ORAL SURGERY |
Please comment or provide details below to improve the information on Kenneth B Weddell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.