Kennedy Bergren, PA-C

NPI #1063361103 in Coon Rapids, Minnesota

Provider Information

NPI Number: 1063361103
Entity Type: Individual
Name: Kennedy Bergren, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 22, 2026
Last Updated: Jan 22, 2026

Practice Location

Address: 9055 SPRINGBROOK DR NW
City: Coon Rapids
State: Minnesota
ZIP Code: 55433-5841
Phone: (763) 780-9155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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