NPI 1063058337

John Kennedy

Practitioner Other Technician Moorhead, MN

Practice location

Address: 891 Belsly Blvd, Moorhead, MN 56560-5055
Phone: (218) 287-4338

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Minnesota →

Registry record

NPI: 1063058337
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Nov 2019
Record last updated: 21 Nov 2019

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.