NPI 1013934785

Randall a Kenninger, MD

Practitioner Family Medicine Physician Fargo, ND

Practice location

Address: 2400 32nd Ave S, Fargo, ND 58103-5800
Phone: (701) 234-8830
Fax: (702) 234-8950

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 7353 (ND)

Other Family Medicine providers in North Dakota →

Registry record

NPI: 1013934785
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2006
Record last updated: 21 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.