Organization
MICHAEL J KENNEDY D.C., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN KENNEDY D.C. (PRESIDENT/VICE-PRESIDENT/TREASURER)
(612) 387-5864
Entity
Organization
Contact information
Practice address
6409 CITY WEST PARKWAY, SUITE 105, EDEN PRAIRIE, MN 55344
(952) 833-3038
Mailing address
12105 41ST AVE NORTH, APT 118, PLYMOUTH, MN 55441
(612) 387-5864
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4999
MN
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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