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NPI Code Detail

MEDICARE: DR. KEVIN ANDREW RAMP DDS

MEDICARE: DR. KEVIN ANDREW RAMP DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryD14082MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1R510-5019-1019OTHERILDRIVERS LICENSE

General Provider Information

NPI Number : 1679070585
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN ANDREW RAMP DDS
Provider Business Mailing Address
First Line : 1623 CARL ST APT 3
Second Line :
City : LAUDERDALE
State : MN
Zip : 55108-1209
Country : US
Telephone Number : 847-454-4210
Fax Number :
Provider Business Practice Location Address
First Line : 1 VETERANS DR
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55417-2309
Country : US
Telephone Number : 612-467-1432
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2018
Last Update Date : 07/25/2025

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