Kingswood Enterprises, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KINGSWOOD ENTERPRISES, LLC

Doing business as

Neb Doctors of Minnesota

Practice address

4131 Old Sibley Memorial Hwy
Ste. 203
Eagan, MN 55122-1947

Phone

(952) 876-4057

NPI assigned

May 17, 2006

Last updated

Jul 9, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David McDonald

Title

Owner - Managing Director

Phone

(952) 876-4057

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Neb Doctors of Minnesota Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1497707426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 OLD SIBLEY MEMORIAL HWY",
            "address_2": "STE. 203",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221947",
            "telephone_number": "952-876-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 OLD SIBLEY MEMORIAL HWY",
            "address_2": "STE. 203",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221947",
            "telephone_number": "952-876-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWOOD ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER - MANAGING DIRECTOR",
        "authorized_official_telephone_number": "952-876-4057"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692682700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neb Doctors of Minnesota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam S. Kim, M.D.
• King and Company LLC
• Brigitte Noel King, PH.D., L.P.
• Jason King
• Tammy Louise King
• Marea Branch Kinsella, MA, LMFT
• Stephanie Lynne Kinsella, PT
• Jolene Marie Kirchner, MA, RN, LMFT
• Sandra Lynn Kirksey, FNP
• Melissa Kizilos, MD

• Durable Medical Equipment & Medical Supplies in Eagan, MN
• Providers in Eagan, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.