Individual
KEN ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 UNIVERSITY AVE W STE 12, SAINT PAUL, MN 55104-3952
(612) 249-8750
Mailing address
1600 UNIVERSITY AVE W STE 12, SAINT PAUL, MN 55104-3952
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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