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Individual
DR. ALLEN KENNETH RYDBERG
Active
Individual
DR. ALLEN KENNETH RYDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3212
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231904
ACN PROVIDER ID
MN
01
—
44-40114
MEDICA PROVIDER ID
MN
01
—
5C661RO
BLUE CROSS BLUE SHIELD ID
MN
Enumeration date
10/16/2006
Last updated
07/25/2023
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