Individual
COLIN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 454-3650
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
72299
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
08/22/2022
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