Individual
KAY STEFFENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
12 S 6TH ST, MINNEAPOLIS, MN 55402-1508
(612) 332-1450
Mailing address
12 S 6TH ST, MINNEAPOLIS, MN 55402-1514
(612) 332-1450
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2190
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01895ST
BLUE CROSS BLUE SHIELD
MN
01
—
539527500
STATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES
MN
Enumeration date
10/05/2005
Last updated
11/09/2012
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