| Kenneth D Mckinney, CRNA | |
|
640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101-2502 | |
| (651) 254-3456 | |
| (651) 254-3048 |
| Full Name | Kenneth D Mckinney |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 640 Jackson Street, St Paul, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992732804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R1439201 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mimbres Memorial Hospital | Deming, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| G And G Anesthesia Llc | 4981912607 | 53 |
| Entity Name | G & G Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487020111 PECOS PAC ID: 4981912607 Enrollment ID: O20191220000506 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth D Mckinney, CRNA 8100 34th Ave S, 21110q, Bloomington, MN 55425-1672 Ph: (952) 883-7961 | Kenneth D Mckinney, CRNA 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101-2502 Ph: (651) 254-3456 |
Lee Rivard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Mail Stop 11503p, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Robert A Lamppa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Virginia M Glendenning, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 333 Smith Ave N, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Robert D West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Morli J Gamm, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Joyce Jacobson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Mail Stop 11503p, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Matthew J Kuckler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 69 Exchange St W, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 |