Organization
RICHARD A.S. KRAGNESS LTD
Active
Other names
Skyway Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD KRAGNESS D.C. (OWNER)
(612) 341-8017
Entity
Organization
Contact information
Practice address
825 NICOLLET MALL, SUITE 1548, MINNEAPOLIS, MN 55402-2606
(612) 341-8017
(612) 332-5972
Mailing address
825 NICOLLET MALL, SUITE 1548, MINNEAPOLIS, MN 55402-2606
(612) 341-8017
(612) 332-5972
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2539
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H030SK
BLUE CROSS, CLINIC
MN
01
—
0H031KR
BLUE CROSS, INDIVIDUAL PR
MN
01
—
231280
ACN PROVIDER NUMBER
MN
Enumeration date
04/17/2007
Last updated
08/22/2020
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