Individual
DR. KENNETH MARSHALL CHAVIS
Active
Individual
DR. KENNETH MARSHALL CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
MN LP2329
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075466
VALUEOPTIONS
MN
01
—
4616961
AETNA
MN
01
—
59609CH
BLUE CROSS BLUE SHIELD
MN
01
—
874001
PREFERREDONE PPO
MN
Enumeration date
01/04/2007
Last updated
07/08/2007
Update your record
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