Individual
KENNETH HENRY RUF JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10811 XAVIS ST NW, COON RAPIDS, MN 55433-4037
(763) 421-1905
(763) 421-2517
Mailing address
10811 XAVIS ST NW, COON RAPIDS, MN 55433-4037
(763) 421-1905
(763) 421-2517
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2510
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59598RU
BC/BS PROVIDER #
MN
05
—
662028100
—
MN
Enumeration date
10/03/2006
Last updated
11/24/2010
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