Individual provider · Type 1 NPI

Kelly K. Koehnen, DDS

General Practice Dentistry · Minneapolis, MN

NPI number 1285639815 Active

Practice location

1406 W Lake St, Ste 100
Minneapolis, MN 55408-2653

Call (612) 827-3736 Map

Fax (612) 821-9626

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X10985 (MN)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1285639815

Kelly K. Koehnen, DDS's National Provider Identifier is 1285639815, issued on Jun 20, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 13, 2026.