| NPI | 1508984105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH RANDALL BARNETT Doctor/Owner 952-226-5502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3613) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2022-01-26 |