Individual
BETHANY LOU FIEBELKORN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9145 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5885
(612) 871-1145
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 871-1145
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5963
MN
Other
Enumeration date
10/21/2008
Last updated
08/31/2021
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