Individual
KEVIN H BLONIGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., L.P.
Contact information
Practice address
500 MARSCHALL RD STE 100, SHAKOPEE, MN 55379-2689
(952) 856-3932
(952) 448-6047
Mailing address
500 MARSCHALL RD STE 300, SHAKOPEE, MN 55379-2690
(952) 856-3932
(952) 448-6047
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3981
MN
Other
Enumeration date
11/20/2006
Last updated
10/09/2025
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