KENNETH LEGAN

SAINT CLOUD, MN
NPI1487682704
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: MN  9515)
Enumeration Date2006-06-28
Last Update Date2008-09-26
Business Address
KENNETH LEGAN PA-C
251 COUNTY ROAD 120
SAINT CLOUD, MN 56303-4872
Phone number: 320-202-8949
Mailing Address
KENNETH LEGAN PA-C
251 COUNTY ROAD 120
SAINT CLOUD, MN 56303-4872
Phone number: 320-202-8949