Provider Demographics
NPI:1043296064
Name:MCKEAND, JENNIFER MARTHA (MD MS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MARTHA
Last Name:MCKEAND
Suffix:
Gender:F
Credentials:MD MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2925 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1321
Mailing Address - Country:US
Mailing Address - Phone:612-262-5000
Mailing Address - Fax:
Practice Address - Street 1:121 SOUTH 8TH ST SUITE 600
Practice Address - Street 2:WOMENS HEALTH CONSULTANTS
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402
Practice Address - Country:US
Practice Address - Phone:612-333-4822
Practice Address - Fax:612-333-3108
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN46587207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
01041677OtherPREFERRED ONE
0703959OtherMEDICA
MN297L2MCOtherBCBS
MN42894OtherHEALTH PARTNERS
MN443030100Medicaid
MNH400104570Medicare PIN
01041677OtherPREFERRED ONE