Individual
KENNETH M KIBERENGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 DELAWARE STREET SE MMC 294, MMC 294, MINNEAPOLIS, MN 55455
(612) 624-2497
Mailing address
420 DELAWARE STREET SE, MMC 294, MINNEAPOLIS, MN 55455
(612) 624-2497
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
326819
NY
Other
Enumeration date
04/24/2019
Last updated
05/23/2024
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