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KENWOD CHIROPRACTIC OFFICE NPI 1174748974


NPI Information

NPI: 1174748974
Provider Name: KENWOD CHIROPRACTIC OFFICE

Doing Business As: TIMOTHY T. ZAKRAJSEK

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1410 KENWOOD AVE
DULUTH, MN
ZIP 55811
Phone: (218) 724-6008
Get Directions

KENWOD CHIROPRACTIC OFFICE is a chiropractor in Duluth, MN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. KENWOD CHIROPRACTIC OFFICE NPI is 1174748974. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Timothy T. Zakrajsek.

The provider's business location address is:

1410 KENWOOD AVE
DULUTH, MN
ZIP 55811-344
Phone: (218) 724-6008
Fax: (218) 724-4499

The provider's authorized official is Timothy Zakrajsek .
The authorized official title is Owner and has the following contact phone number (218) 724-6008.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 11/11/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor2876MINNESOTANo
2111N00000XChiropractor2398-012WISCONSINNo
3111N00000XChiropractor2601MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1751828500MEDICAIDMINNESOTA
2350035360OTHERMINNESOTARR MEDICARE-TIM ZAKRAJSEK
3V17944MEDICARE UPINMINNESOTA
4C06877MEDICARE PINMINNESOTA
5T66316MEDICARE UPINMINNESOTA
6359000329MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAMEDICARE - GAYLE GARNESS
7359000330MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAMEDICARE - TIM ZAKRAJSEK

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: 4/28/2024

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