Dr Kenneth Marshall Chavis, PHD - Psychologist in Edina, MN

Dr Kenneth Marshall Chavis, PHD is a Psychologist - Counseling based in Edina, Minnesota. Dr Kenneth Marshall Chavis is licensed to practice in Minnesota (license number MN LP2329) and his current practice location is 4005 W 65th St, Suite 108, Edina, Minnesota. He can be reached at his office (for appointments etc.) via phone at (952) 922-9090.

NPI number for Dr Kenneth Marshall Chavis is 1841347978 and his current mailing address is 6509 Ryan Ave, Edina, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841347978.

Contact Information

Dr Kenneth Marshall Chavis, PHD
4005 W 65th St, Suite 108,
Edina, MN 55435-1720
(952) 922-9090
(952) 929-0022

Map and Direction




Healthcare Provider's Profile

Full NameDr Kenneth Marshall Chavis
GenderMale
SpecialityPsychologist - Counseling
Location4005 W 65th St, Edina, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841347978
  • Provider Enumeration Date: 01/04/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Kenneth Marshall Chavis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841347978NPI-NPPES
59609CHOtherMNBLUE CROSS BLUE SHIELD
075466OtherMNVALUEOPTIONS
4616961OtherMNAETNA
874001OtherMNPREFERREDONE PPO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling MN LP2329 (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. Dr Kenneth Marshall Chavis 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 AddressPractice Location Address
Dr Kenneth Marshall Chavis, PHD
6509 Ryan Ave,
Edina, MN 55435-1518

Ph: (952) 922-9090
Dr Kenneth Marshall Chavis, PHD
4005 W 65th St, Suite 108,
Edina, MN 55435-1720

Ph: (952) 922-9090

Reviews and Comments


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