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NPI Code Detail

MEDICARE: DR. KEVIN JOESPH UNTERRIENER D.C.

MEDICARE:  DR. KEVIN JOESPH UNTERRIENER  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor3251MN

General Provider Information

NPI Number : 1598899072
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN JOESPH UNTERRIENER D.C.
Provider Business Mailing Address
First Line : 9336 ENSIGN AVE S
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55438-1455
Country : US
Telephone Number : 952-829-0100
Fax Number : 952-942-6295
Provider Business Practice Location Address
First Line : 9336 ENSIGN AVE S
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55438-1455
Country : US
Telephone Number : 952-829-0100
Fax Number : 952-942-6295
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 07/08/2007

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Directions to “ DR. KEVIN JOESPH UNTERRIENER D.C.” Practice Location

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