Koeneman, Kenneth S

Koeneman, Kenneth S is an individual health care provider with primary practice located at 516 Delaware St Se Pwb First Floor, Clinic 1E, Minneapolis MN 55455-0356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Koeneman, Kenneth S can be contacted via phone (612) 626-6666.

Contact Information

Primary practice address
516 Delaware St Se Pwb First Floor, Clinic 1E Minneapolis MN 55455-0356
Phone: (612) 626-6666
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 46470 Minnesota

Profile Details

NPI number 1437249893
LBN Legal business name Koeneman, Kenneth S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1437249893 NPPES
Minnesota Other 131340 UCARE
Minnesota Other B715 UCARE
Minnesota Other 692293 UCARE
Minnesota Other 19-00018 UCARE
Minnesota Other HP40917 UCARE
Minnesota Other 19-00591 UCARE
Minnesota Other 1040762 UCARE
Minnesota Other 455R5KO UCARE
Minnesota Other 2162398 UCARE

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