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

Kyle Joseph Muckenhirn, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871055376

Kyle Joseph Muckenhirn, MD is an Orthopedic Surgery in Fargo, North Dakota. Qualified in 2019, 7 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
7
Licensed in
ND
In the registry since
2019
Specialties on file
2
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

1720 University Dr S
Fargo, ND 58103-4940
Phone: (701) 417-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Uw Hospitals And Clinics 600 Highland Ave, Madison, WI 53792-0001 — (608) 263-6400

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 21108 (ND)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871055376
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2019
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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