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Shelby Kenison, ATC — NPI 1790020949, Clarks Grove, MN | NPI Central

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NPI 1790020949

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Shelby Kenison, ATC

NPI 1790020949 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Clarks Grove, MN

Provider details

NPI number: 1790020949
Entity type: Individual
Primary specialty: Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
Credential: ATC
Sex: Female
Sole proprietor: No
License: 2306 (MN)

Specialties & taxonomies

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense 2306 (MN)
Allopathic & Osteopathic Physicians

Practice location

28675 740th Ave

Clarks Grove, MN 56016-4041

Phone: (507) 213-3487

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

28675 740th Ave

Clarks Grove, MN 56016-4041

Additional practice locations (1)

103 Independence Ave S
Clarks Grove, MN 56016-7704
Phone: (507) 213-3487

Registry dates

Enumerated: 2012-11-29
Last updated: 2020-03-11
Certified: 2020-03-11

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