Kenneth Fox

NPI #1487095469 in Champlin, Minnesota

Provider Information

NPI Number: 1487095469
Entity Type: Individual
Name: Kenneth Fox
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jul 8, 2013
Last Updated: Jul 8, 2013

Practice Location

Address: 8562 122ND AVE N
City: Champlin
State: Minnesota
ZIP Code: 55316-3588
Phone: (612) 867-6629

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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