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Kenneth Duane Pearson
Driver in Sandstone, Minnesota
NPI 1265119978

Kenneth Duane Pearson is a Driver based in Sandstone, MN. Kenneth Duane Pearson practices in Sandstone, MN. The NPI Number for Kenneth Duane Pearson is 1265119978 and holds a License No. Z716244577114 (Minnesota).

The current practice location address for Kenneth Duane Pearson is 606 Highway 123 W, Sandstone, MN and can be reached out via phone at 320-245-5355 and via fax at 320-216-7638.

Location: 606 Highway 123 W, Sandstone, MN, 55072-0026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265119978
Provider Name
Kenneth Duane Pearson
Credential
Provider Entity Type
Individual
Gender
Male
Address
606 Highway 123 W, Sandstone, MN, 55072-0026
Phone Number
320-245-5355
Fax Number
320-216-7638
Provider Enumeration Date
07/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
606 Highway 123 W
City
Sandstone
State
Minnesota
Zip
55072-5060
Phone Number
320-245-5355
Fax Number
320-216-7638
person
Provider Business Mailing Address Details
Address
606 Highway 123 W
City
Sandstone
State
Minnesota
Zip
55072-5060
Phone Number
320-245-5355
Fax Number
320-216-7638
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
Z716244577114 (Minnesota)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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