Shelby Kenison, ATC
NPI 1790020949 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Clarks Grove, MN
Shelby Kenison, ATC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician provider in Clarks Grove, MN (NPI 1790020949).
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
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 103 Independence Ave SClarks Grove, MN 56016-7704Phone: (507) 213-3487
Registry dates
- Enumerated
- 2012-11-29
- Last updated
- 2020-03-11
- Certified
- 2020-03-11
Frequently asked questions
- What is Shelby Kenison's NPI number?
- Shelby Kenison's National Provider Identifier (NPI) is 1790020949, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shelby Kenison's specialty?
- Shelby Kenison is listed in the NPPES registry with a primary specialty of Sports Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Shelby Kenison located?
- Shelby Kenison's practice location on file with NPPES is 28675 740th Ave, Clarks Grove, MN 56016-4041.
- What is Shelby Kenison's phone number?
- The practice phone number listed in the NPPES registry for Shelby Kenison is (507) 213-3487.
- Is Shelby Kenison's NPI active?
- Yes — Shelby Kenison's NPI (1790020949) is active in the NPPES registry as of the last update on 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.