Kenneth John Guidera
Pediatric Orthopaedic Surgeon
2025 E River Pkwy
Minneapolis
, Minnesota 55414-3604
Kenneth John Guidera
Pediatric Orthopaedic Surgeon
2025 E River Pkwy
Minneapolis
, Minnesota 55414-3604
(813) 281-8113
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About
Features
Specialties
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Kenneth John Guidera
- P.o. Box 209036 Shriners Hospitals For Children Twin Cities
- Dallas, TX
- Zip : 75320-9036
- Fax : (813) 281-8113
- Phone : (813) 281-8478
Second Address
- Kenneth John Guidera
- 2025 E River Pkwy
- Minneapolis, MN
- Zip : 55414-3604
- Fax : (612) 339-7634
- Phone : (612) 596-6187
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 47329 | MN |
National Provider Identifier
| NPI | 1922150697 |
|---|---|
| Provider Name | Kenneth John Guidera |
| First Address | Dallas, TX 75320-9036 |
| Second Address | Minneapolis, MN 55414-3604 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/01/2007 |
| Last Update Date | 04/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 158417100 | (05) | MN |
| 1922150697 | (05) | MN |
| D51330 | (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.