NPI

Kevin Christopher Kennedy

NPI 1679102263

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
DO
Type
Individual
Enumeration date
2020-04-06
Last updated
2025-09-24

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Specialties

Licenses

License ND
PT22665
License MA
284020

Location

Practice location
2305 37th Ave SW
City
Minot ND
Postal code
58701-7669
Phone
(701) 418-8000

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Minot, ND. 2,321 records in the public file.

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