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

Kenny Ta

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336083864

Kenny Ta is a Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone: (612) 273-8383
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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 (MN)

Record details

NPI number1336083864
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2026
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026
Mailing address631 Oak St Se, Minneapolis, MN 55414-2901

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