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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NICHOLAS RYAN KENNING, D.D.S., M.D.

Active

DR. NICHOLAS RYAN KENNING, D.D.S., M.D. is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in SAINT CLOUD, Minnesota. NPI 1497162358 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · SAINT CLOUD, MN

Registration Details

NPI Number
1497162358
Provider Type
Individual
Gender
Male
NPI Issued
Jul 11, 2014 (12.054151950347 yrs)
Last Updated
Jun 25, 2020
Licenses
64354 (MN)
D13402 (MN)
D13402 (MN)
64354 (MN)

Practice Information

Address
3950 VETERANS DR STE 100
SAINT CLOUD, MN, 563033424
Browse MN providers · Browse ZIP 56303
Phone
3202523611
Fax
3202527574
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X
Additional Specialty
Oral & Maxillofacial Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.