Deactivated NPI 1962476507 Deactivated / Inactive NPI Male Practitioner

Dr. William Kennedy , MD

Specialist • Minneapolis, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Kennedy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 13, 2006

NPI Deactivation Date February 26, 2026

Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. William Kennedy, MD was a registered Specialist practicing in Minneapolis, MN. Throughout an active medical career spanning 20 years, Dr. Kennedy provided care at the practice location at 420 DELAWARE ST SE until profile deactivation on 2026-02-26.

Practice Location & Contact Primary Location

Practice Address

420 Delaware St Se
Mmc 185

Minneapolis, MN 554550341

Telephone 6126251431

Associated Practice Facility / Clinic

🏢 University Of Minnesota Facility NPI 1730371857

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Minneapolis, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 32.8 Yrs

State Avg: 34.7 Yrs

Regional Practice Density

71 Specialists

Practicing in Minneapolis, MN (877 Statewide)

Telehealth Adoption Rate

4.2% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MN 15228

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Khalid Amin , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003011396

Doctor of Medicine (M.D.)

Melissa Richardson , PA-C

Physician Assistant

NPI 1003052556

Physician Assistant (Certified)

Dr. Raid Said Mousa Yousef , MD

Student in an Organized Health Care Education/Training Program

NPI 1003195645

Doctor of Medicine (M.D.)

Dr. David Balser , MD

Physical Medicine & Rehabilitation

NPI 1003303801

Doctor of Medicine (M.D.)

Alexander Troester

Student in an Organized Health Care Education/Training Program

NPI 1003436247

Dr. Nikitha Vobugari , MD

Internal Medicine - Hematology & Oncology

NPI 1003475195

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

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NPI Profile Deactivated February 26, 2026

Record deactivated on February 26, 2026

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NPI Profile Active March 18, 2009

NPI status registered as active in NPPES database

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Updated Practice Location March 18, 2009

Registered at 420 DELAWARE ST SE, MMC 185, MINNEAPOLIS, MN 554550341 (Tel: 6126251431)

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Updated Business Mailing Address March 18, 2009

Registered at 420 DELAWARE ST SE, MMC 185, MINNEAPOLIS, MN 554550341 (Tel: 6126251431)

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Provider Name / Credentials Updated March 18, 2009

Recorded as WILLIAM KENNEDY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2009

Specialist (License #15228 in MN)

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Initial NPI Registration & Enumeration February 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1962476507

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 13, 2006

Last Update: March 18, 2009

Deactivation Date: February 26, 2026

Update or Correct Profile

Mailing Address

420 Delaware St Se, Mmc 185

Minneapolis, MN 554550341

Phone: 6126251431

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.