Randall A Kenninger, MD

NPI #1013934785 in Fargo, North Dakota

Provider Information

NPI Number: 1013934785
Entity Type: Individual
Name: Randall A Kenninger, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 17, 2006
Last Updated: Nov 21, 2011

Practice Location

Address: 2400 32ND AVE S
City: Fargo
State: North Dakota
ZIP Code: 58103-5800
Phone: (701) 234-8830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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