Individual
KENZIE JEAN KALWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
401 W 70TH ST, RICHFIELD, MN 55423-7555
(612) 798-6000
Mailing address
1820 XENIUM LN N, PLYMOUTH, MN 55441-3708
(763) 559-3535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U0987257603
CIGNA
—
Enumeration date
06/04/2019
Last updated
04/27/2026
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