DR. KEEGAN MICHAEL GUIDOLIN MD
NPI 1649154865
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Q: What is Keegan Guidolin's NPI number?

The NPI number for Keegan Guidolin is 1649154865. It was assigned to this individual provider in the NPPES registry on August 1, 2025.

Q: What is Keegan Guidolin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keegan Guidolin was last updated on March 19, 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.

Active since August 01, 2025

3433 BROADWAY ST. NE, SUITE 115, MINNEAPOLIS, MN 55413(612) 624-1722 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Keegan Michael Guidolin Md NPPES

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

DR. KEEGAN MICHAEL GUIDOLIN MD (NPI 1649154865) is an individual student in an organized health care education/training program in Minneapolis, Minnesota, licensed in Minnesota (35026) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1649154865

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. KEEGAN MICHAEL GUIDOLINCredential: MD

Location Address3433 BROADWAY ST. NE, SUITE 115Minneapolis, MN 55413

Mailing Address721 N 1st St., Unit 713Minneapolis, MN 55401

Phone(612) 624-1722

Sole ProprietorYes

Enumeration DateAugust 1, 2025

Last NPPES UpdateMarch 19, 2026

NPPES CertifiedMarch 19, 2026

✔ NPI 1649154865 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

License✔ Licensed in MN · 35026

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.

3433 BROADWAY ST. NE, Minneapolis, MN 55413

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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 Keegan Guidolin's NPI number?

The NPI number for Keegan Guidolin is 1649154865. It was assigned to this individual provider in the NPPES registry on August 1, 2025.

Where is Keegan Guidolin located?

Keegan Guidolin practices at 3433 Broadway St. NE Suite 115, Minneapolis, MN 55413. The listed phone number is (612) 624-1722.

What is Keegan Guidolin'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 Keegan Guidolin was last updated on March 19, 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.