Individual
NICOLE IRENE KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
911 NORTHLAND DR., PRINCETON, MN 55371
(763) 389-6513
(763) 389-6410
Mailing address
911 NORTHLAND DR., PRINCETON, MN 55371
(763) 389-6513
(763) 389-6410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7436
MN
Other
Enumeration date
10/17/2006
Last updated
09/05/2023
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