MEDICARE: DR. ASHPAL S KENT 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
1	111N00000X	Chiropractor	003767	MN

General Provider Information

NPI Number	:	1669682704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHPAL S KENT D.C.

Provider Business Mailing Address
First Line	:	7086 BROOKLYN BLVD
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55429-1370
Country	:	US
Telephone Number	:	763-533-3800
Fax Number	:	763-533-1257

Provider Business Practice Location Address
First Line	:	7086 BROOKLYN BLVD
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55429-1370
Country	:	US
Telephone Number	:	763-533-3800
Fax Number	:	763-533-1257

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	07/08/2007

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