Kenison, Shelby N

Kenison, Shelby N is an individual health care provider with primary practice located at 28675 740Th Ave , Clarks Grove MN 56016-4041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Kenison, Shelby N can be contacted via phone (507) 213-3487.

Contact Information

Primary practice address
28675 740Th Ave Clarks Grove MN 56016-4041
Phone: (507) 213-3487
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 2306 Minnesota

Profile Details

NPI number 1790020949
LBN Legal business name Kenison, Shelby N
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2012
Last updated Mar 11th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790020949 NPPES
Minnesota Other 1790020949 NPI

Popular Providers