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Dr. Kenneth Warren Odegaard II, DC
Chiropractor in Minneapolis, Minnesota
NPI 1477651685

Kenneth Warren Odegaard II is a Chiropractor based in Minneapolis, MN. Kenneth Warren Odegaard II practices in Minneapolis, MN and has the professional credentials of DC. The NPI Number for Kenneth Warren Odegaard II is 1477651685 and holds a License No. 1664 (Minnesota).

The current practice location address for Kenneth Warren Odegaard II is 21 4Th St Ne, Minneapolis, MN and can be reached out via phone at 612-379-2344 and via fax at 612-379-2751.

Location: 21 4Th St Ne, Minneapolis, MN, 55413-2219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477651685
Provider Name
Kenneth Warren Odegaard II
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
21 4Th St Ne, Minneapolis, MN, 55413-2219
Phone Number
612-379-2344
Fax Number
612-379-2751
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26583OD 01 MN MINNESOTA BLUE CROSS/BLUE
institution
Provider Business Practice Location Address Details
Address
21 4Th St Ne
City
Minneapolis
State
Minnesota
Zip
55413-2219
Phone Number
612-379-2344
Fax Number
612-379-2751
person
Provider Business Mailing Address Details
Address
21 4Th St Ne
City
Minneapolis
State
Minnesota
Zip
55413-2219
Phone Number
612-379-2344
Fax Number
612-379-2751
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1664 (Minnesota)
Definition
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.
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