Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth George Poole Jr., MD

Individual provider Internal Medicine Physician · NPI 1649434408

Dr. Kenneth George Poole Jr., MD is an Internal Medicine in Rochester, Minnesota. Qualified in 2008, 18 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arizona, Minnesota and Missouri.

Years since qualifying
18
Licensed in
AZ, MN, MO
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 13400 E Shea Blvd, Scottsdale, AZ 85259 — (480) 301-8000
  • 13400 E Shea Blvd, Scottsdale, AZ 85259 — (480) 301-8000
  • 9555 Upland Ln N, Maple Grove, MN 55369-4485 — (952) 993-1440

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 72328 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2010022098 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 48643 (AZ)

Record details

NPI number1649434408
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2008
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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