Individual
KENWOOD MERLYN RUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1123 HENNEPIN AVE, GLENCOE, MN 55336-2206
(320) 864-6249
Mailing address
1123 HENNEPIN AVE, GLENCOE, MN 55336-2206
(320) 864-6249
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
1535
MN
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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