Shelby N Kenison, ATC is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in Clarks Grove, Minnesota. Shelby N Kenison is licensed to practice in Minnesota (license number 2306) and her current practice location is 28675 740th Ave, Clarks Grove, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(507) 213-3487.
NPI number for Shelby N Kenison is 1790020949 and her current mailing address is 28675 740th Ave, Clarks Grove, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790020949.
Physician's Profile
Full Name | Shelby N Kenison |
---|
Gender | Female |
---|
Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
---|
Location | 28675 740th Ave, Clarks Grove, Minnesota |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790020949
- Provider Enumeration Date: 11/29/2012
- Last Update Date: 03/11/2020
Medical Identifiers
Medical identifiers for Shelby N Kenison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790020949 | NPI | - | NPPES |
1790020949 | Other | MN | NPI |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 2306 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelby N Kenison is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shelby N Kenison, ATC 28675 740th Ave, Clarks Grove, MN 56016-4041 Ph: (507) 213-3487 | Shelby N Kenison, ATC 28675 740th Ave, Clarks Grove, MN 56016-4041 Ph: (507) 213-3487 |
Reviews and Comments