Organization
KENT CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARIE KENT D.C. (OWNER)
(651) 696-9110
Entity
Organization
Contact information
Practice address
245 PRIOR AVE N, SAINT PAUL, MN 55104-5163
(651) 696-9110
(888) 503-7553
Mailing address
245 PRIOR AVE N, SAINT PAUL, MN 55104-5163
(651) 696-9110
(888) 503-7553
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
2722
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273528800
—
MN
Enumeration date
01/17/2007
Last updated
09/07/2022
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