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

Dr. Kyle Wayne Abben, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1225321839

Dr. Kyle Wayne Abben, DPM is a Podiatry in St Louis Park, Minnesota. Qualified in 2011, 15 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Georgia, Minnesota and North Dakota.

Years since qualifying
15
Licensed in
GA, MN, ND
In the registry since
2011
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone: (952) 993-3123
Fax: (952) 993-3286
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 952 (MN)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence POD001251 (GA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 75 (ND)

Record details

NPI number1225321839
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 16, 2011
Last updated in NPPESMarch 8, 2021
Certification dateMarch 8, 2021
Mailing address8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in St Louis Park