Organization
DR. KIM LEIS-KEELING, LLC
Active
Other names
Eagan Sports Chiropractic & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM M. LEIS-KEELING DC (CHIROPRACTOR/OWNER)
(612) 834-2779
Entity
Organization
Contact information
Practice address
2121 CLIFF DR STE 101, EAGAN, MN 55122-3407
(612) 834-2779
(654) 330-3901
Mailing address
1770 SWITCHGRASS CIR, SHAKOPEE, MN 55379-8533
(612) 834-2779
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
4498
MN
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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