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

Keith D Henry, MD

Individual provider Emergency Medicine Physician · NPI 1417922089

Keith D Henry, MD is an Emergency Medicine in St Paul, Minnesota. Graduated from University of Arizona College of Medicine in 2002, 24 years ago. Practices with Regions Hospital, a 219-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
24
Trained at
University of Arizona College of Medicine
Licensed in
MN, WI
In the registry since
2006
Specialties on file
2
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

640 Jackson St Mc 11102F
St Paul, MN 55101-2502
Phone: (651) 254-3456
Fax: (651) 254-5216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 927 Churchill St W, Stillwater, MN 55082-6605 — (651) 439-5330
  • 265 Griffin St E, Amery, WI 54001-1439 — (715) 268-8000
  • 405 Stageline Rd, Hudson, WI 54016-7848 — (715) 531-6000
  • 535 Hospital Rd, New Richmond, WI 54017-1449 — (715) 243-2600

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 47419 (MN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 51157 (WI)

Record details

NPI number1417922089
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 17, 2006
Last updated in NPPESAugust 18, 2022
Certification dateAugust 18, 2022
Mailing address8100 34th Ave S, Mc21110q, Bloomington, MN 55425-1672

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Regions Hospital — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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