NPI 1083734826

Kenneth Reed McMillan, MD

Practitioner General Practice Physician Minneapolis, MN

Practice location

Address: 2020 Bloomington Ave, Minneapolis, MN 55404-3073
Phone: (612) 813-1610
Fax: (612) 813-1612
Mailing address: 5618 32nd Ave N, Crystal, MN 55422-2604

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 41394 (MN)

Other General Practice providers in Minnesota →

Registry record

NPI: 1083734826
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2007
Record last updated: 8 Jul 2007

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.