Kavanagh Chiropractic, P.A.
Chiropractor in De Graff, MN. Organization (NPI-2).
NPI number1609007202
StatusActive
Last updated in NPPESJul 30, 2009
Details
- NPI
- 1609007202
- Entity type
- Organization (NPI-2)
- Legal business name
- Kavanagh Chiropractic, P.A.
- Organization subpart
- No
- Enumeration date
- Jul 30, 2009
- Last updated
- Jul 30, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 4998 | MN | Yes |
Practice location
440 110th Ave SeDe Graff, MN 56271-9071
Phone 612-590-3899 · Fax 952-445-9313
Mailing address
500 Marschall RoadSuite 130
Shakopee, MN 55379-2693
Phone 952-445-9313 · Fax 952-445-9313
Authorized official
Sarah Jean Kavanagh
President
9524459313
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