Individual
IAN GREGORY JONES KENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4730 CHICAGO AVE, MINNEAPOLIS, MN 55407-3570
(612) 313-0000
(612) 313-0004
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(612) 313-0000
(612) 313-0004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55097
MN
207Q00000X
Family Medicine Physician
BS5264976
WA
Other
Enumeration date
06/08/2007
Last updated
08/17/2017
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