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

Kenneth Sussman

Individual provider Pediatrics Physician · NPI 1134226236

Kenneth Sussman is a Pediatrics Physician in Virginia, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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Practice location Address checks out

1101 9th St N
Virginia, MN 55792-2329
Phone: (218) 741-0150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 22447 (MN)

Record details

NPI number1134226236
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 8, 2007
Mailing address400 E 3rd St, Duluth, MN 55805-1951