Baran, Kenneth William

Baran, Kenneth William is an individual health care provider with primary practice located at 640 Jackson St , Saint Paul MN 55101-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Baran, Kenneth William can be contacted via phone (651) 254-4887.

Contact Information

Primary practice address
640 Jackson St Saint Paul MN 55101-2502
Phone: (651) 254-4887
Fax: (651) 254-1603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 27798 Minnesota

Profile Details

NPI number 1962485797
LBN Legal business name Baran, Kenneth William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Mar 11th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962485797 NPPES
Minnesota MEDICAID 10553800
Minnesota MEDICAID 30553800

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