Individual provider · Type 1 NPI

Kenny Ta

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1336083864 Active

Practice location

909 Fulton St SE
Minneapolis, MN 55455-4800

Call (612) 273-8383 Map

Mailing address

631 Oak St SE
Minneapolis, MN 55414-2901

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1336083864

Kenny Ta's National Provider Identifier is 1336083864, issued on Apr 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on Apr 15, 2026.