Individual
KENNEDY SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.AC.
Contact information
Practice address
400 SELBY AVENUE, G2, SAINT PAUL, MN 55102-4508
(651) 224-6678
Mailing address
400 SELBY AVENUE, G2, SAINT PAUL, MN 55102
(651) 224-6678
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1497
MN
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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