Dr. Nicholas Ryan Kenning
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
3950 Veterans Dr Ste 100
Saint Cloud
, Minnesota 56303-3424
Dr. Nicholas Ryan Kenning
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
3950 Veterans Dr Ste 100
Saint Cloud
, Minnesota 56303-3424
(320) 252-7574
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Nicholas Ryan Kenning
- 3950 Veterans Dr Ste 100
- Saint Cloud, MN
- Zip : 56303-3424
- Fax : (320) 252-7574
- Phone : (320) 252-3611
Second Address
- Dr. Nicholas Ryan Kenning
- 3950 Veterans Dr Ste 100
- Saint Cloud, MN
- Zip : 56303-3424
- Fax : (320) 252-7574
- Phone : (320) 252-3611
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 64354 | MN |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | D13402 | MN |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 64354 | MN |
| N | 204E00000X | Oral & Maxillofacial Surgeon | D13402 | MN |
National Provider Identifier
| NPI | 1497162358 |
|---|---|
| Provider Name | Dr. Nicholas Ryan Kenning |
| First Address | Saint Cloud, MN 56303-3424 |
| Second Address | Saint Cloud, MN 56303-3424 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2014 |
| Last Update Date | 25/06/2020 |
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.