Dr. Katherine Elizabeth Kearney-Bidwell, D.C.
Chiropractor in Shakopee, MN. Individual provider (NPI-1).
NPI number1265626147
StatusActive
Last updated in NPPESDec 6, 2010
Details
- NPI
- 1265626147
- Entity type
- Individual (NPI-1)
- Name
- Dr. Katherine Elizabeth Kearney-Bidwell
- Credential
- D.C.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2007
- Last updated
- Dec 6, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 4917 | MN | Yes |
Practice location
1667 17th Ave ESuite 103b
Shakopee, MN 55379-4432
Phone 952-445-5250 · Fax 952-445-5350
Mailing address
7920 Mitchell RdEden Prairie, MN 55344-2218
Phone 612-396-4520
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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