| NPI | 1902228356 |
|---|---|
| Former Name | KATHLEEN KJOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: MN 5856) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5856) |
| Enumeration Date | 2014-01-19 |
| Last Update Date | 2018-09-17 |