NPI 1093686651

Dereje Keno Gemechu

Practitioner Driver Minneapolis, MN

Practice location

Address: 5924 Dupont Ave N, Minneapolis, MN 55430-2748
Phone: (612) 453-5217

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence Y000030138200 (MN)

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Registry record

NPI: 1093686651
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Sep 2025
Record last updated: 16 Sep 2025

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.