Individual
DR. TIMOTHY RYAN KINSELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
407 S SIBLEY AVE, LITCHFIELD, MN 55355-3027
(320) 593-4494
(320) 593-4495
Mailing address
407 S SIBLEY AVE, LITCHFIELD, MN 55355-3027
(320) 593-4494
(320) 593-4495
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4446
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
296M4KI
BCBS
MN
01
—
411508205
SELECTCARE
MN
01
—
412129056
HSM PONE
MN
01
—
934613900
PRIMEWEST
MN
05
—
934613900
—
MN
Enumeration date
01/05/2007
Last updated
07/08/2007
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