Derrick Jon Kinney
Individual provider Active NPI Home Modifications Contractor · Britt, MN
NPI 1497632244 · NPPES record last updated Aug 26, 2025
Key facts
- NPI
- 1497632244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Modifications Contractor 171WH0202X
- License
- IR814158 (MN)
- Practice address
- 7763 S Birch Ridge Rd
Britt, MN 55710-8272 - Phone
- (218) 750-9308
- NPI assigned
- Aug 20, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IR814158 | MN | MD | Home Modifications Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mesabi Mobility LLC | Home Modifications | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | IR814158 | MN | Yes |
Addresses
Primary practice location
7763 S Birch Ridge Rd
Britt, MN 55710-8272
Mailing address
7763 S Birch Ridge Rd
Britt, MN 55710-8272
Phone (218) 750-9308
Other providers in Britt, MN
All providers in Britt, MN · Home Modifications Contractor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.