Individual
KENNETH G AMMONS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1690 UNIVERSITY AVE W, SUITE 570, SAINT PAUL, MN 55104-3723
(651) 232-4800
(651) 232-4899
Mailing address
1690 UNIVERSITY AVE W, SUITE 570, SAINT PAUL, MN 55104-3723
(651) 232-4800
(651) 232-4899
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
633
MN
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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