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KYLE LOGAN KENNEDY NP-C
NPI 1114231503
Nurse Practitioner in Saint Paul, MN

Active since July 28, 2010
2550 UNIVERSITY AVE W, SUITE 423 S, SAINT PAUL, MN 55114(612) 871-1145(612) 870-5491 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kyle Logan Kennedy Np-c NPPES

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

KYLE LOGAN KENNEDY NP-C (NPI 1114231503) is an individual nurse practitioner in Saint Paul, Minnesota, licensed in Minnesota (A0710079) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1114231503
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameKYLE LOGAN KENNEDYCredential: NP-C
Location Address2550 UNIVERSITY AVE W, SUITE 423 SSaint Paul, MN 55114-1052
Mailing AddressOne Veterans DriveMinneapolis, MN 55417 · (612) 467-4100 · Fax (612) 870-5491
Phone(612) 871-1145
Fax(612) 870-5491
Sole ProprietorNo
Enumeration DateJuly 28, 2010
Last NPPES UpdateJanuary 12, 2022
NPPES CertifiedJanuary 12, 2022
✔ NPI 1114231503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · A0710079
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2550 UNIVERSITY AVE W, Saint Paul, MN 55114
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Other Names 1

Former Name (1)Kyle Logan Dexheimer

Other Providers at the Same Location NPPES 20

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

MRS. MELISSA LEA URBANEK LMFT
Marriage & Family Therapist
2550 UNIVERSITY AVE W, STE 435 S
SAINT PAUL, MN 55114
Ramsey County (651) 647-1900
MICHELLE S KENNEDY MD
Internal Medicine (Gastroenterology)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114
Ramsey County (612) 870-5557
TYANN ZEAL R.D., L.D.
Dietitian, Registered
2550 UNIVERSITY AVE W
SAINT PAUL, MN 55114
Ramsey County (952) 993-6200
AMY LAWRENCE L.M.F.T.
Marriage & Family Therapist
2550 UNIVERSITY AVE W, SUITE 314N
SAINT PAUL, MN 55114
Ramsey County (651) 645-5323
SHANNON O'DONNELL L.P.
Psychologist (Clinical)
2550 UNIVERSITY AVE W, SUITE 314N
SAINT PAUL, MN 55114
Ramsey County (651) 645-5323
EMILY KATHRYN KAHNERT DPT
Physical Therapist
2550 UNIVERSITY AVE W, SUITE 189S
SAINT PAUL, MN 55114
Ramsey County (651) 332-7474
GERALD PATRICK CRIMMINS PSYD CP
Psychologist
2550 UNIVERSITY AVE W, STE 229N
SAINT PAUL, MN 55114
Ramsey County (651) 645-3115
CARMEN JEAN JACOBSON P.A.-C
Physician Assistant (Medical)
2550 UNIVERSITY AVE W, SUITE 110N
SAINT PAUL, MN 55114
Ramsey County (651) 602-5311

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 Kyle Kennedy's NPI number?

The NPI number for Kyle Kennedy is 1114231503. It was assigned to this individual provider in the NPPES registry on July 28, 2010. The provider is also known as Kyle Logan Dexheimer.

Where is Kyle Kennedy located?

Kyle Kennedy practices at 2550 University Ave W Suite 423 S, Saint Paul, MN 55114. The listed phone number is (612) 871-1145.

What is Kyle Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kyle Kennedy was last updated on January 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.