KENNETH S KOENEMAN MD NPI 1437249893

NPI Information

NPI: 1437249893
Provider Name: KENNETH S KOENEMAN, MD
Classification: Urology - 208800000X
Entity Type: Individual
Address:
516 DELAWARE ST SE
PWB FIRST FLOOR, CLINIC 1E
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-6666
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Kenneth S Koeneman, MD is an urology in Minneapolis, MN. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Kenneth S Koeneman, MD NPI is 1437249893. 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:

516 DELAWARE ST SE
PWB FIRST FLOOR, CLINIC 1E
MINNEAPOLIS, MN
ZIP 55455-356
Phone: (612) 626-6666

The enumeration date for this NPI number is 10/13/2006 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
1	208800000X	Urology		46470	MINNESOTA	Yes

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
1	1040762	OTHER	MINNESOTA	PREFERRED ONE
2	19-00018	OTHER	MINNESOTA	MEDICA-PRIMARY
3	692293	OTHER	MINNESOTA	FAIRVIEW
4	2162398	OTHER		ARAZ
5	H17473	MEDICARE UPIN
6	B715	OTHER		CHAMPUS
7	131340	OTHER	MINNESOTA	UCARE
8	HP40917	OTHER	MINNESOTA	HEALTH PARTNERS
9	455R5KO	OTHER	MINNESOTA	BCBS
10	19-00591	OTHER	MINNESOTA	MEDICA-CHOICE
11	0073984	MEDICARE ID-TYPE UNSPECIFIED	MONTANA

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: 4/28/2024

NPI Synchronization or Removal

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