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

Kenneth Leroy King Sr.

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568086346

Kenneth Leroy King Sr. is a Student in an Organized Health Care Education/Training Program in New Brighton, Minnesota. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1900 Silver Lake Rd NW
New Brighton, MN 55112-1786
Phone: (651) 628-9566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1568086346
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 8, 2020
Last updated in NPPESJune 8, 2020
Certification dateJune 8, 2020
Mailing address1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786

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