Kenney-Jung, Daniel L

Kenney-Jung, Daniel L is an individual health care provider with primary practice located at 2512 S 7Th St , Minneapolis MN 55454-1404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Kenney-Jung, Daniel L can be contacted via phone (612) 365-6777.

Contact Information

Primary practice address
2512 S 7Th St Minneapolis MN 55454-1404
Phone: (612) 365-6777
Fax: (612) 365-8001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 53048 Minnesota
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 53048 Minnesota

Profile Details

NPI number 1063644771
LBN Legal business name Kenney-Jung, Daniel L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2009
Last updated Nov 5th, 2018 - about 6 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 1063644771 NPPES
Minnesota MEDICAID ENROLLED
Minnesota MEDICAID ENROLLED

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