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KENNETH REED MCMILLAN MD
NPI 1083734826
General Practice in Minneapolis, MN

Active since March 29, 2007
2020 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404(612) 813-1610(612) 813-1612 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Reed Mcmillan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH REED MCMILLAN MD (NPI 1083734826) is an individual general practice provider in Minneapolis, Minnesota, licensed in Minnesota (41394) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1083734826
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameKENNETH REED MCMILLANCredential: MD
Location Address2020 BLOOMINGTON AVEMinneapolis, MN 55404-3073
Mailing Address5618 32nd Ave NCrystal, MN 55422-2604 · (763) 533-1255
Phone(612) 813-1610
Fax(612) 813-1612
Sole ProprietorYes
Enumeration DateMarch 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083734826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MN · 41394
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2020 BLOOMINGTON AVE, Minneapolis, MN 55404
Open in Google Maps ↗

Other Identifiers 1

Medicare UPING95124MN

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SUE ANNE SCHABER RN
Registered Nurse
2020 BLOOMINGTON AVE, HEALTH STAR
MINNEAPOLIS, MN 55404
Hennepin County (612) 871-3700
MRS. JO ELLEN HEMINK RPH
Pharmacist
2020 BLOOMINGTON AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 871-1989
OVERCOMERS OUTREACH MINISTRIES
Health Maintenance Organization
2020 BLOOMINGTON AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 871-1208
FOND DU LAC RESERVATION BUSINESS COMMITTEE
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
2020 BLOOMINGTON AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 871-1989

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Mcmillan's NPI number?

The NPI number for Kenneth Mcmillan is 1083734826. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Kenneth Mcmillan located?

Kenneth Mcmillan practices at 2020 Bloomington Ave, Minneapolis, MN 55404. The listed phone number is (612) 813-1610.

What is Kenneth Mcmillan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Mcmillan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.