Organization
NEUROLOGY LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R KENNEDY (SOLE PROPRIETOR)
(612) 625-1431
Entity
Organization
Contact information
Practice address
420 DELAWARE STREET SE, MINNEAPOLIS, MN 55455-0377
(612) 625-1431
Mailing address
2259 SUMMIT AVENUE, ST. PAUL, MN 55105
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
15228
MN
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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