KINGSWAY CHIROPRACTIC PA NPI 1063853166

NPI Information

  • NPI: 1063853166
  • Provider Name: KINGSWAY CHIROPRACTIC, PA
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 17595 KENWOOD TRL
    SUITE 190
    LAKEVILLE, MN
    ZIP 55044
  • Phone: (952) 898-5929

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NPI Details

KINGSWAY CHIROPRACTIC, PA is a clinic center in Lakeville, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). KINGSWAY CHIROPRACTIC, PA NPI is 1063853166. The provider is registered as an organization entity type.

The provider's business location address is:

17595 KENWOOD TRL
SUITE 190
LAKEVILLE, MN
ZIP 55044-226
Phone: (952) 898-5929
Fax: (952) 898-5959

The provider's authorized official is Joel Alan Fenske .
The authorized official title is Owner and has the following contact phone number (612) 432-8558.

The enumeration date for this NPI number is 7/17/2013 and was last updated on 7/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center4523MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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