KENNY CHANTASI

FARGO, ND
NPI1427216175
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: NY  259456)
Enumeration Date2008-05-29
Last Update Date2022-04-29
Business Address
Dr. KENNY CHANTASI DO
801 BROADWAY N
FARGO, ND 58102-3641
Phone number: 701-234-2000
Mailing Address
Dr. KENNY CHANTASI DO
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-328-6585
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