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General NPI Number Information
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NPI Number | 1811863889
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Entity Type | Organization
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Legal Business Name | KEDZIE PODIATRY PLLC
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 2680 E SNELLING SER DR 260
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City | SAINT PAUL
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State | MN
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Zip | 55113
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Country | US
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Telephone | 651-636-5958
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Fax |
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Provider Business Mailing Address
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Address Line | 2931 LAKE BLVD
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City | NORTH SAINT PAUL
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State | MN
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Zip | 55109-1652
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Country | US
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Telephone | 507-676-2441
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Fax |
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Authorized Official
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Title or Position | DPM
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Name | MARGARET ELLEN KEDZIE
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Credential |
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Telephone | 507-676-2441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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