Individual provider · Type 1 NPI
Kyle Logan Kennedy, NP-C
Nurse Practitioner · St. Paul, MN
Practice location
2550 University Ave W, Suite 423 S
St. Paul, MN 55114-1052
Fax (612) 870-5491
Mailing address
One Veterans Drive
Minneapolis, MN 55417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | A0710079 (MN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1114231503
Kyle Logan Kennedy, NP-C's National Provider Identifier is 1114231503, issued on Jul 28, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Paul, MN. The record was last updated on Jan 12, 2022.