Shelby N Kenison, ATC - Physical Medicine & Rehabilitation in Clarks Grove, MN

Shelby N Kenison, ATC is a Physical Medicine & Rehabilitation - Sports Medicine physician based in Clarks Grove, Minnesota. Shelby N Kenison is licensed to practice in Minnesota (license number 2306) and her current practice location is 28675 740th Ave, Clarks Grove, Minnesota. She can be reached at her office (for appointments etc.) via phone at (507) 213-3487.

NPI number for Shelby N Kenison is 1790020949 and her current mailing address is 28675 740th Ave, Clarks Grove, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790020949.

Contact Information

Shelby N Kenison, ATC
28675 740th Ave,
Clarks Grove, MN 56016-4041
(507) 213-3487
Not Available



Physician's Profile

Full NameShelby N Kenison
GenderFemale
SpecialityPhysical Medicine & Rehabilitation - Sports Medicine
Location28675 740th Ave, Clarks Grove, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790020949
  • Provider Enumeration Date: 11/29/2012
  • Last Update Date: 03/11/2020

Medical Identifiers

Medical identifiers for Shelby N Kenison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790020949NPI-NPPES
1790020949OtherMNNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 2306 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelby N Kenison is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shelby N Kenison, ATC
28675 740th Ave,
Clarks Grove, MN 56016-4041

Ph: (507) 213-3487
Shelby N Kenison, ATC
28675 740th Ave,
Clarks Grove, MN 56016-4041

Ph: (507) 213-3487

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Physical Medicine & Rehabilitation Doctors in Clarks Grove, MN


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