Healthsource of Eden Prairie, Pllc
NPI #1144523689 in Eden Prairie, Minnesota
Provider Information
- NPI Number
- 1144523689
- Entity Type
- Organization
- Organization Name
- Healthsource of Eden Prairie, Pllc
- Primary Specialty
- Chiropractor
- Enumeration Date
- Dec 6, 2010
- Last Updated
- Dec 6, 2010
Practice Location
- Address
- 7920 MITCHELL RD
- City
- Eden Prairie
- State
- Minnesota
- ZIP Code
- 55344-2218
- Phone
- (612) 396-4520
Authorized Official
- Name
- DR. KATHERINE KEARNEY-BIDWELL, DC
- Title
- OWNER/CHIROPRACTOR
- Phone
- (612) 396-4520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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| DR. Brent Alexander Kvam, D.C., | |
| MR. Matthew John Alvord, DC | |
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