Kathleen Demanivel, MD
Dermatology Physician · Maple Grove, MN
Kathleen Demanivel, MD is a dermatology physician with a practice address in Maple Grove, Minnesota, and NPI 1477543957, issued on Oct 25, 2005. Check the license (Minnesota 31117, as entered in NPPES) on the Minnesota Board of Medical Practice; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kathleen Demanivel
- Credential
- MD
- Primary taxonomy
- Dermatology Physician 207N00000X
- License number
- 31117 MN
Self-reported in NPPES; status is on the state search - Practice location
- 14500 99TH Ave N, Maple Grove, MN 55369
- Phone
- (763) 898-1000
- Enumerated
- Oct 25, 2005
- Entity
- Type 1 · individual
Also registered at 14500 99TH Ave N
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Lara Al-Ejeilat, MDPediatrics Physician1679889042
- Barbara Benson, RDRegistered Dietitian1023034980
- Wendy Blue, RN, CDEDiabetes Educator Registered Nurse1215487525
- Jennifer Bremer, RD, LDRegistered Dietitian1114627171
- Angelina ConstableOrthotic Fitter1629285937
- Laura Ennis, LMFTMarriage & Family Therapist1679067912
Verify Kathleen Demanivel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMinnesota Board of Medical Practice
Search for license 31117Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
Dermatology Physician providers in Minnesota
There are 287 dermatology physician records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other dermatology physician records in Minnesota
- Angela Aakhus, M.D.Bemidji, MN1326330127
- Bishoy AbdelmalikRochester, MN1689420366
- Rewan AbdelwahabRochester, MN1013698323
- Alison Adams, M.D.Minneapolis, MN1467484014
- Mohsen Afarideh, MD, MPHRochester, MN1467181396
- Nessa Aghazadeh Mohandesi, MDRochester, MN1770089161
- Shruti Agrawal, MDRochester, MN1457883092
- Afsaneh Alavi, MDRochester, MN1083211023
- Jumana Aldhalaan, MBBSRochester, MN1467110007
- Erisa Alia, MDMankato, MN1811486871
Common questions
What is Kathleen Demanivel, MD's NPI number?
Kathleen Demanivel, MD's National Provider Identifier (NPI) is 1477543957, issued on Oct 25, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Kathleen Demanivel, MD located?
The NPPES record lists a practice address at 14500 99TH Ave N, Maple Grove, MN, 55369. Phone: (763) 898-1000. Providers update this record themselves, so call before visiting.
How can I verify Kathleen Demanivel, MD's license?
NPPES lists Minnesota license number 31117, as entered by the provider. Search the Minnesota Board of Medical Practice at https://mn.gov/boards/medical-practice/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.