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

Kenneth M Kiberenge, MD

Individual provider Anesthesiology Physician · NPI 1023672151

Kenneth M Kiberenge, MD is an Anesthesiology in Minneapolis, Minnesota. Qualified in 2016, 10 years ago. Practices with Southcoast Physicians Group Inc, a 872-clinician group. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2019
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

420 Delaware Street SE Mmc 294 Mmc 294
Minneapolis, MN 55455
Phone: (612) 624-2497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 326819 (NY)

Record details

NPI number1023672151
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2019
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southcoast Physicians Group Inc — 872 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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