Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649596370 Individual Practitioner Male Practitioner

Dr. Jonathan Kenknight , MD

Pediatrics • Duluth, MN

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Kenknight, MD is a registered healthcare professional specializing in Pediatrics in Duluth, MN. Practice services are available at 400 E 3RD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 E 3rd St
Essentia Health Duluth Clinic

Duluth, MN 558051951

Telephone 2187868364
Associated Practice Facility / Clinic
🏢 The Duluth Clinic, Ltd Facility NPI 1245278209

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Duluth, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
36 Specialists

Practicing in Duluth, MN (1325 Statewide)

Telehealth Adoption Rate
2.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 56187

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1649596370 (MN)
Medicaid State Provider ID
1649596370 (MI)
Medicaid State Provider ID
1649596370 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Molly Dwyer , APRN, CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003468760

Advanced Practice Registered Nurse, Certified Nurse Practitioner

NPI 1003565292

Doctor of Medicine (M.D.)

Kelsey O'neil , APRN, CNP

Nurse Practitioner - Family

NPI 1003677303

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Annette Barker

Nurse Practitioner - Family

NPI 1003845595
Bruce Derauf

Radiology - Diagnostic Radiology

NPI 1003847385
Nizar Saleh

Internal Medicine - Cardiovascular Disease

NPI 1003857889

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 17, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2013

Registered at 400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 558051951 (Tel: 2187868364)

📍
Updated Business Mailing Address October 17, 2013

Registered at 400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 558051951 (Tel: 2187868364)

👤
Provider Name / Credentials Updated October 17, 2013

Recorded as JONATHAN KENKNIGHT, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2013

Pediatrics (License #56187 in MN)

🟢
Initial NPI Registration & Enumeration April 20, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649596370
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2010
Last Update: October 17, 2013
Sole Proprietor: No

Mailing Address

400 E 3rd St, Essentia Health Duluth Clinic

Duluth, MN 558051951

Phone: 2187868364

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.