Kenneth G Ammons
Podiatrist
1690 University Ave W Suite 570
Saint Paul
, Minnesota 55104-3723
Kenneth G Ammons
Podiatrist
1690 University Ave W Suite 570
Saint Paul
, Minnesota 55104-3723
(651) 232-4899
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Kenneth G Ammons
- 1690 University Ave W Suite 570
- Saint Paul, MN
- Zip : 55104-3723
- Fax : (651) 232-4899
- Phone : (651) 232-4800
Second Address
- Kenneth G Ammons
- 1690 University Ave W Suite 570
- Saint Paul, MN
- Zip : 55104-3723
- Fax : (651) 232-4899
- Phone : (651) 232-4800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 633 | MN |
| Y | 222Z00000X | Podiatrist | 633 | MN |
National Provider Identifier
| NPI | 1043270176 |
|---|---|
| Provider Name | Kenneth G Ammons |
| First Address | Saint Paul, MN 55104-3723 |
| Second Address | Saint Paul, MN 55104-3723 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T38324 | (02) | MN |
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.