| Kingsway Chiropractic, Pa | |
|
17595 Kenwood Trl Suite 190 Lakeville MN 55044-9226 | |
| (952) 898-5929 | |
| (952) 898-5959 |
| Full Name | Kingsway Chiropractic, Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 17595 Kenwood Trl, Lakeville, Minnesota |
| Authorized Official Name and Position | Joel Alan Fenske (OWNER) |
| Authorized Official Contact | 6124328558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingsway Chiropractic, Pa 17595 Kenwood Trl Suite 190 Lakeville MN 55044-9226 Ph: (952) 898-5929 | Kingsway Chiropractic, Pa 17595 Kenwood Trl Suite 190 Lakeville MN 55044-9226 Ph: (952) 898-5929 |
| NPI Number | 1063853166 |
|---|---|
| Provider Enumeration Date | 07/17/2013 |
| Last Update Date | 07/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063853166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4523 (Minnesota) | Primary |
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