Dr. Kenneth Mcrae
Nurse Practitioner Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health Nurse Practitioner - Primary Care
2925 Chicago Ave
Minneapolis
, Minnesota 55407
Dr. Kenneth Mcrae
Nurse Practitioner Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health Nurse Practitioner - Primary Care
2925 Chicago Ave
Minneapolis
, Minnesota 55407
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Dr. Kenneth Mcrae
- 550 Osborne Rd Ne
- Fridley, MN
- Zip : 55432-2718
- Phone :
Second Address
- Dr. Kenneth Mcrae
- 2925 Chicago Ave
- Minneapolis, MN
- Zip : 55407
- Phone : (763) 236-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 3895 | MN |
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 3895 | MN |
| N | 363LG0600X | Nurse Practitioner - Gerontology | 3895 | MN |
| N | 363LP2300X | Nurse Practitioner - Primary Care | 3895 | MN |
National Provider Identifier
| NPI | 1003290685 |
|---|---|
| Provider Name | Dr. Kenneth Mcrae |
| First Address | Fridley, MN 55432-2718 |
| Second Address | Minneapolis, MN 55407 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2015 |
| Last Update Date | 24/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.