Individual
KENNEDY HENRY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
406 E MAIN ST, ADA, MN 56510
(218) 784-2330
(218) 784-2331
Mailing address
406 E MAIN ST, ADA, MN 56510
(218) 784-2330
(218) 784-2331
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1429
MN
111N00000X
Chiropractor
724
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
680527200
—
MN
Enumeration date
09/05/2006
Last updated
07/28/2010
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