Individual
STEVEN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 HIGHWAY 97 UNIT 2A, FOREST LAKE, MN 55025-2687
(651) 464-0800
Mailing address
2661 231ST AVE, MADISON, MN 56256-3004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6182
MN
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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