Organization
KINGSWAY CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL ALAN FENSKE DC (OWNER)
(612) 432-8558
Entity
Organization
Contact information
Practice address
17595 KENWOOD TRL, SUITE 190, LAKEVILLE, MN 55044-9226
(952) 898-5929
(952) 898-5959
Mailing address
17595 KENWOOD TRL, SUITE 190, LAKEVILLE, MN 55044-9226
(952) 898-5929
(952) 898-5959
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4523
MN
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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