Shelby N Kenison, ATC | |
28675 740th Ave, Clarks Grove, MN 56016-4041 | |
(507) 213-3487 | |
Not Available |
Full Name | Shelby N Kenison |
---|---|
Gender | Female |
Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
Location | 28675 740th Ave, Clarks Grove, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790020949 | NPI | - | NPPES |
1790020949 | Other | MN | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 2306 (Minnesota) | Primary |
Mailing Address | Practice 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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