Shelby N Kenison, ATC
NPI #1790020949 in Clarks Grove, Minnesota
Provider Information
- NPI Number
- 1790020949
- Entity Type
- Individual
- Name
- Shelby N Kenison, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Medicine & Rehabilitation - Sports Medicine
- Credential
- ATC
- Enumeration Date
- Nov 29, 2012
- Last Updated
- Mar 11, 2020
Practice Location
- Address
- 28675 740TH AVE
- City
- Clarks Grove
- State
- Minnesota
- ZIP Code
- 56016-4041
- Phone
- (507) 213-3487
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Sports Medicine — Sports Medicine |
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