Kendall Petty is a Coon Rapids, Minnesota based nurse anesthetist with 18 years of experience as Anesthesia Administration. He completed he graduation from University Of Minnesota Medical School in 2007. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kendall Petty is R 135220-7 for Anesthesia Administration in Minnesota. his current practice location is 8990 Springbrook Dr Nw, Suite 250, Coon Rapids. Patients can reach him at 763-398-0099 or can fax him at 763-398-0124. Kendall Petty is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1720287154. Kendall Petty is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Kendall Petty speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
18+ years
Medical School Attended:
University Of Minnesota Medical School
Graduation Year:
2007
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
8990 Springbrook Dr Nw, Suite 250, Coon Rapids, Minnesota, 55433-5850
Phone:
763-398-0099
Fax:
763-398-0124
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9436243359
Enrollment ID:
I20070921000469
NPI Number:
1720287154
NPI Enumeration Date:
16 Jul, 2007
NPI Last Update On:
19 May, 2008
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kendall Petty are as mentioned below.
License Number
Specialization
State
Status
R 135220-7
Anesthesia Administration
Minnesota
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Abbott Northwestern Hospital (240057)
Minneapolis, MN
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kendall Petty has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Metropolitan Anesthesia Network Llp (5698689123)
487
Other Medical Identifiers:
Other legacy medical identifiers associated with Kendall Petty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
430917000
Medicaid
Minnesota
53L81PE
Other
Minnesota
BCBSMN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
8990 Springbrook Dr Nw, Suite 250 Coon Rapids, Minnesota
Zip:
55433-5850
Phone Number:
763-398-0099
Fax Number:
763-398-0124
Patients can reach Kendall Petty at 8990 Springbrook Dr Nw, Suite 250, Coon Rapids, Minnesota or can call to book an appointment on 763-398-0099.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.