Individual
DR. KENT ELLIS CARDER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
20176 HERITAGE DR, LAKEVILLE, MN 55044-6855
(952) 985-8808
Mailing address
20176 HERITAGE DR, LAKEVILLE, MN 55044-6855
(612) 462-0402
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6538
MN
Other
Enumeration date
09/10/2018
Last updated
05/09/2022
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