NPI 1811887755
Keveon K Kingbird, CHW
Practice location
- Address
- 15855 Main Ave, Red Lake, MN 56671-0280
- Phone
- (218) 679-3228
- Mailing address
- 403 4th St NW STE 120, Bemidji, MN 56601-3155
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1811887755
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Jul 2025
- Record last updated
- 3 Jul 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.