Whalio Doctors

NPI 1053395863

Brent Alexander Kvam, DC

Practitioner Chiropractor Eden Prairie, MN

Practice location

Address
7525 Mitchell Rd Suite 300, Eden Prairie, MN 55344-1959
Phone
(952) 974-2091
Fax
(952) 974-2296

Registered specialties

Chiropractor Primary
Chiropractic Providers Taxonomy 111N00000X Licence 4188 (MN)

Registry record

NPI
1053395863
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Dec 2005
Record last updated
26 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.