Individual
DR. SUSAN MARIE KENT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1418 GRAND AVE, SAINT PAUL, MN 55105-2205
(651) 696-9110
(651) 696-9119
Mailing address
1418 GRAND AVE, SAINT PAUL, MN 55105-2205
(651) 696-9110
(651) 696-9119
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2722
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273528800
—
MN
Enumeration date
08/24/2005
Last updated
07/08/2007
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