MEDICARE: DR. ALEX KENT FOX DC

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	4761	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942214473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEX KENT FOX DC

Provider Business Mailing Address
First Line	:	1611 COUNTY HIGHWAY 10
Second Line	:
City	:	SPRING LAKE PARK
State	:	MN
Zip	:	55432-2124
Country	:	US
Telephone Number	:	763-784-1540
Fax Number	:	763-784-3383

Provider Business Practice Location Address
First Line	:	1611 COUNTY HIGHWAY 10
Second Line	:
City	:	SPRING LAKE PARK
State	:	MN
Zip	:	55432-2124
Country	:	US
Telephone Number	:	763-784-1540
Fax Number	:	763-784-3383

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

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	07/21/2022

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