Individual
DR. KENNETH WILLIAM BARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-4887
(651) 254-1603
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
27798
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10553800
—
MN
05
—
30553800
—
WI
Enumeration date
11/25/2005
Last updated
03/11/2021
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