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Brayton Kiedrowski, D.O. — NPI 1770019796, Shakopee, MN | NPI Central

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NPI 1770019796

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Brayton Kiedrowski, D.O.

NPI 1770019796 · Sports Medicine (Family Medicine) Physician · Shakopee, MN

Provider details

NPI number: 1770019796
Entity type: Individual
Primary specialty: Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: D.O.
Sex: Male
Sole proprietor: Yes
License: 88752 (MT)

Specialties & taxonomies

Sports Medicine (Family Medicine) PhysicianPrimary207QS0010XLicense 77987 (MN)
Allopathic & Osteopathic Physicians
Family Medicine Physician207Q00000XLicense 88752 (MT)
Allopathic & Osteopathic Physicians
Sports Medicine (Family Medicine) Physician207QS0010XLicense 02006537A (IN)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

1700 Saint Francis Ave

Shakopee, MN 55379

Phone: (952) 831-8742

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

8170 33rd Ave S # Ms 21110q

Bloomington, MN 55425-4516

Additional practice locations (1)

1400 Highland Rd Ste 1
Richmond, IN 47374-8810
Phone: (765) 962-4444

Registry dates

Enumerated: 2017-05-11
Last updated: 2024-09-13
Certified: 2024-09-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.