Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162) — for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1093023152
Kenan C. GuilmettePA-C
Active
NPI Number1093023152
NPI TypeNPI-1 Individual
SpecialtyPhysician Assistant
Provider Details
NPI1093023152
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2010-09-22
Last Updated2010-09-22
Mailing Address3366 Oakdale Ave N, 315
Robbinsdale, MN 55422-2948
United States
Phone: (763) 587-7900 | Fax: (763) 587-7989
📍 View Map
Primary Practice Address3366 Oakdale Ave N, 315
Robbinsdale, MN 55422-2948
United States
Phone: (763) 587-7900 | Fax: (763) 587-7989
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363A00000X – Physician AssistantMN1487
Export Provider Record NPI 1093023152
Search for More Providers
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →

About NPI 1093023152

Kenan C. Guilmette PA-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1093023152. The primary specialty listed is Physician Assistant. The provider is located in Robbinsdale, MN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-09-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1093023152?

NPI 1093023152 belongs to Kenan C. Guilmette PA-C, a Physician Assistant in Robbinsdale, MN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1093023152 active?

The current status of NPI 1093023152 in the NPPES registry is Active. The record was last updated on 2010-09-22.

What specialty is NPI 1093023152?

NPI 1093023152 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1093023152?

You can verify NPI 1093023152 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1093023152?

The primary practice address on file for NPI 1093023152 is 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1093023152 issued?

NPI 1093023152 was first issued (enumerated) on 2010-09-22. The NPPES record was last updated on 2010-09-22.

Practice Location Map

Kenan C. Guilmette is located at 3366 Oakdale Ave N, Robbinsdale, MN. Use the map below to find directions or verify the practice location.

📍 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Kenan C. Guilmette. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1093023152. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Physician Assistant1487MN
Data Verified from CMS NPPES Last synced: 2026-06-22 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162