Kevin John Holmgren, NREMT

Primary specialty

TechnicianTaxonomy code 374700000X

License

E3633212 Issued in ND

Practice address

308 3Rd Ave NE
Kenmare, ND 58746-7406

Phone

(701) 822-1877

NPI assigned

Apr 29, 2022

Last updated

Apr 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kevin John Holmgren Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1740925163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 3RD AVE NE",
            "city": "KENMARE",
            "state": "ND",
            "postal_code": "587467406",
            "telephone_number": "701-822-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 3RD AVE NE",
            "city": "KENMARE",
            "state": "ND",
            "postal_code": "587467406",
            "telephone_number": "701-822-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMGREN",
        "first_name": "KEVIN",
        "middle_name": "JOHN",
        "credential": "NREMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "ND",
            "license": "E3633212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND EMS",
            "identifier": "153102",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "HOLMGREN",
            "middle_name": "JOHN",
            "credential": "NREMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Technician in Kenmare, ND
• Providers in Kenmare, ND by specialty
• Technician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.