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

Kathleen Kennedy Miller, MD

Individual provider Pediatrics Physician · NPI 1760801088

Kathleen Kennedy Miller, MD is a Pediatric Medicine in Minneapolis, Minnesota. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2014, 12 years ago. Works from 2 locations. Licensed in Minnesota.

Years since qualifying
12
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
MN
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

410 Church St SE
Minneapolis, MN 55455-0222
Phone: (612) 625-8400
Fax: (612) 677-3211
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 2525 Chicago Ave, Minneapolis, MN 55404-4518 — (612) 813-6000

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 63437 (MN)

Record details

NPI number1760801088
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2014
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Minneapolis