Individual
DR. MARY KATHRYN KENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5100 EDEN AVE, SUITE 320, EDINA, MN 55436-2337
(952) 929-9934
(612) 869-8872
Mailing address
5100 EDEN AVE, SUITE 320, EDINA, MN 55436-2337
(952) 929-9934
(612) 869-8872
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
LP 0886
MN
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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