IndividualActive
Kenneth Mcmillan, MD
NPI 1083734826 · General Practice Physician · Minneapolis, MN
Provider details
- NPI number
- 1083734826
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 41394 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2020 Bloomington Ave
Minneapolis, MN 55404-3073
Phone: (612) 813-1610
Fax: (612) 813-1612
Approximate (ZIP-level) locationGet directions
Mailing address
5618 32nd Ave N
Crystal, MN 55422-2604
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.