Active NPIIndividual providerSole proprietor

Dr. Kenneth Minkoff, MD

Psychiatry & Neurology, Addiction Psychiatry in Acton, Massachusetts

NPI Number1033103247
Practice location
100 Powdermill RD # 319, Acton, MA 01720-5932
Fax
415-455-8016
Last updated
November 29, 2010

Kenneth Minkoff is a Psychiatry & Neurology, Addiction Psychiatry based in Acton, MA. Kenneth Minkoff practices in Acton, MA and has the professional credentials of MD. The NPI Number for Kenneth Minkoff is 1033103247 and holds a License No. 39497 (MA). The current practice location address for Kenneth Minkoff is 100 Powdermill RD # 319, Acton, MA 01720-5932 and can be reached out via phone at 978-502-1729 and via fax at 415-455-8016.

Provider Profile Details

NPI Number
1033103247
Provider Name
Kenneth Minkoff
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Powdermill RD # 319, Acton, MA 01720-5932
Phone Number
978-502-1729
Fax Number
415-455-8016
Primary Taxonomy
Psychiatry & Neurology, Addiction Psychiatry · 2084P0802X
Sole Proprietor
Yes
Provider Enumeration Date
September 2, 2005
Last Update Date
November 29, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Powdermill RD # 319
Acton, MA 01720-5932
City
Acton
Zip
01720-5932
Phone Number
978-502-1729
Fax Number
415-455-8016
Acton, MA 01720Get directions →

Provider Business Mailing Address Details

Address
100 Powdermill RD # 319
Acton, MA 01720-5932
City
Acton
State
MA
Zip
01720-5932
Phone Number
978-502-1729
Fax Number
415-455-8016

License Information

License Number
39497
License State
MA
Taxonomy
Psychiatry & Neurology, Addiction Psychiatry · 2084P0802X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kenneth Minkoff, MD?

The NPI number of Dr. Kenneth Minkoff, MD is 1033103247. It was assigned on September 2, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Kenneth Minkoff, MD?

Dr. Kenneth Minkoff, MD is registered under the primary taxonomy Psychiatry & Neurology, Addiction Psychiatry (code 2084P0802X), licensed in MA under license number 39497.

Where does Dr. Kenneth Minkoff, MD practice?

The practice location is 100 Powdermill RD # 319, Acton, MA 01720-5932. The office can be reached at 978-502-1729 (phone) or 415-455-8016 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033103247 directly on the NPPES registry website.

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