Gwendolyn E Kelly-Kohnke | Golden Valley, MN • PECOS Search

Gwendolyn E Kelly-Kohnke

Chiropractor

Chiropractic Providers

8421 Wayzata Blvd Ste 220, Golden Valley, MN 55426-1380

PECOS Enrollment

Based on the most recent information from CMS, provider Gwendolyn E Kelly-Kohnke does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1295931368
Provider Type
Individual
Full Name
Kelly-Kohnke, Gwendolyn E
Title
Dr.
Credential
DC

Gender
Female
Sole Proprietor
No
Enumeration Date
6/25/2007
Last Updated
11/1/2010

Contact Information

Practice Location

8421 Wayzata Blvd Ste 220, Golden Valley, MN 55426-1380

Unlisted Fax

Mailing Location

8421 Wayzata Blvd Ste 220, Golden Valley, MN 55426-1380

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 4183 Minnesota