IndividualActive
Kenneth Kephart, MD
NPI 1619066545 · Geriatric Medicine (Family Medicine) Physician · Minneapolis, MN
Provider details
- NPI number
- 1619066545
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 26265 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2615 East Franklin Avenue
Minneapolis, MN 55406
Phone: (612) 333-0770
Approximate (ZIP-level) locationGet directions
Mailing address
420 Delaware St Se
Minneapolis, MN 55455
Registry dates
- Enumerated
- 2006-10-11
- 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.