Active NPIIndividual provider

Kevin C Kennedy, DO

Surgery in Minot, North Dakota

NPI Number1679102263
Practice location
2305 37TH Ave SW, Minot, ND 58701-7669
Fax
—
Last updated
September 24, 2025

Kevin Christopher Kennedy is a Surgery based in Minot, ND. Kevin Christopher Kennedy practices in Minot, ND and has the professional credentials of DO. The NPI Number for Kevin Christopher Kennedy is 1679102263 and holds a License No. PT22665 (ND). The current practice location address for Kevin Christopher Kennedy is 2305 37TH Ave SW, Minot, ND 58701-7669 and can be reached out via phone at 701-418-8000.

Provider Profile Details

NPI Number
1679102263
Provider Name
Kevin Christopher Kennedy
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2305 37TH Ave SW, Minot, ND 58701-7669
Phone Number
701-418-8000
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
April 6, 2020
Last Update Date
September 24, 2025
Certification Date
September 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2305 37TH Ave SW
Minot, ND 58701-7669
City
Minot
Zip
58701-7669
Phone Number
701-418-8000
Minot, ND 58701Get directions →

Provider Business Mailing Address Details

Address
Po Box 5010
Minot, ND 58702-5010
City
Minot
State
ND
Zip
58702-5010
Phone Number
701-418-8000

License Information

License Number (1)
PT22665
License State (1)
ND
Taxonomy (1)
Surgery · 208600000X · Primary
License Number (2)
284020
License State (2)
MA
Taxonomy (2)
Surgery · 208600000X

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 Kevin C Kennedy, DO?

The NPI number of Kevin C Kennedy, DO is 1679102263. It was assigned on April 6, 2020 and is currently active in the NPPES registry.

What is the specialty of Kevin C Kennedy, DO?

Kevin C Kennedy, DO is registered under the primary taxonomy Surgery (code 208600000X), licensed in ND under license number PT22665.

Where does Kevin C Kennedy, DO practice?

The practice location is 2305 37TH Ave SW, Minot, ND 58701-7669. The office can be reached at 701-418-8000 (phone).

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 1679102263 directly on the NPPES registry website.

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