Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELBY N KENISON, ATC
ActiveSHELBY N KENISON, ATC is a Sports Medicine (PM&R) healthcare provider located in CLARKS GROVE, Minnesota. NPI 1790020949 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · CLARKS GROVE, MN
Registration Details
- NPI Number
- 1790020949
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 29, 2012 (13.693306911023 yrs)
- Last Updated
- Mar 11, 2020
- License
-
2306 (MN)
Practice Information
- Address
-
28675 740TH AVECLARKS GROVE, MN, 560164041Browse MN providers · Browse ZIP 56016
- Phone
- 5072133487
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.