KENNETH REED MCMILLAN MD NPI 1083734826

NPI Information

  • NPI: 1083734826
  • Provider Name: KENNETH REED MCMILLAN, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 2020 BLOOMINGTON AVE
    MINNEAPOLIS, MN
    ZIP 55404
  • Phone: (612) 813-1610

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NPI Details

Kenneth Reed Mcmillan, MD is a general practice in Minneapolis, MN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Kenneth Reed Mcmillan, MD NPI is 1083734826. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2020 BLOOMINGTON AVE
MINNEAPOLIS, MN
ZIP 55404-073
Phone: (612) 813-1610
Fax: (612) 813-1612

The enumeration date for this NPI number is 3/29/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice41394MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G95124MEDICARE UPINMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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