Whalio Doctors

NPI 1265119978

Kenneth Duane Pearson

Practitioner Driver Sandstone, MN

Practice location

Address
606 Highway 123 W, Sandstone, MN 55072-5060
Phone
(320) 245-5355
Fax
(320) 216-7638
Mailing address
PO Box 26, Sandstone, MN 55072-0026

Registered specialties

Driver Primary
Other Service Providers Taxonomy 172A00000X Licence Z716244577114 (MN)

Registry record

NPI
1265119978
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Jul 2023
Record last updated
4 Jul 2023

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.