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Individual

DR. KEVIN RONNY EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1910 COUNTY ROAD 20, LYND, MN 56157
(507) 828-2600
Mailing address
1910 COUNTY ROAD 20, LYND, MN 56157
(507) 828-2600

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2705
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21924
SIOUX VALLEY HEALTH PLAN
MN
01
3D662EV
BLUE CROSS BLUE SHIELD
MN
05
803528800
MN
Enumeration date
10/10/2006
Last updated
12/29/2019
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