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

Kevin Robert Reisdorf

Individual provider Certified Registered Nurse Anesthetist · NPI 1629138870

Kevin Robert Reisdorf is a Certified Registered Nurse Anesthetist (CRNA) in Duluth, Minnesota. Qualified in 2004, 22 years ago. Practices with The Duluth Clinic Ltd, a 1,127-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
22
Licensed in
MN
In the registry since
2006
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Practice location Address checks out

400 E 3rd St
Duluth, MN 55805-1951
Phone: (218) 786-4626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R134330-0 (MN)

Record details

NPI number1629138870
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 11, 2006
Last updated in NPPESJune 27, 2011

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice The Duluth Clinic Ltd — 1127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Duluth