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KENNY TA
NPI 1336083864
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 15, 2026
909 FULTON ST SE, MINNEAPOLIS, MN 55455(612) 273-8383 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenny Ta NPPES

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

KENNY TA (NPI 1336083864) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1336083864
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKENNY TA
Location Address909 FULTON ST SEMinneapolis, MN 55455-4800
Mailing Address631 Oak St SeMinneapolis, MN 55414-2901 · (952) 486-0365
Phone(612) 273-8383
Sole ProprietorNo
Enumeration DateApril 15, 2026
NPPES CertifiedApril 15, 2026
✔ NPI 1336083864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
909 FULTON ST SE, Minneapolis, MN 55455
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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.

DR. RONALD ALEXANDER REILKOFF M.D.
Internal Medicine (Pulmonary Disease)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
EUGENIA SHMIDT MD
Internal Medicine (Gastroenterology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (507) 284-2511
DR. ROBERT ALLEN MCGOVERN III M.D.
Neurological Surgery
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
KIMBERLY EHLERT PHARMD, RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
909 FULTON ST SE, 3RD FLOOR, CLINIC AND SURGERY CENTER
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-5341
NUTTAVUT SUMRANSUB M.D.
Internal Medicine (Hematology & Oncology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC
Anesthesiology
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-8383
MARY MELTON PHD
Psychologist (Clinical)
909 FULTON ST SE, BUILDING 2
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
DR. BRITTANI LAUREN CONWAY M.D.
Psychiatry & Neurology (Neurology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (651) 226-2890

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 Kenny Ta's NPI number?

The NPI number for Kenny Ta is 1336083864. It was assigned to this individual provider in the NPPES registry on April 15, 2026.

Where is Kenny Ta located?

Kenny Ta practices at 909 Fulton St SE, Minneapolis, MN 55455. The listed phone number is (612) 273-8383.

What is Kenny Ta's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kenny Ta was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.