Individual
KENNETH B HEITHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5775 WAYZATA BOULEVARD, SUITE 190, ST LOUIS PARK, MN 55416
(952) 541-1840
(952) 513-6880
Mailing address
PO BOX 1414, NCB-6, MINNEAPOLIS, MN 55480-1414
(952) 542-8553
(952) 513-6880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18169
MN
Other
Enumeration date
04/20/2006
Last updated
05/10/2026
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