Organization
KAVANAGH CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH JEAN KAVANAGH D.C. (PRESIDENT)
(952) 445-9313
Entity
Organization
Contact information
Practice address
440 110TH AVE SE, DE GRAFF, MN 56271-9071
(612) 590-3899
(952) 445-9313
Mailing address
500 MARSCHALL ROAD, SUITE 130, SHAKOPEE, MN 55379-2693
(952) 445-9313
(952) 445-9313
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4998
MN
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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