Look up the most recent NPI and PECOS records

Kenzie Jean Kalway

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

15301 Grove Cir N, Maple Grove, MN 55369-4475

PECOS Enrollment

Based on the most recent information from CMS, provider Kenzie Jean Kalway 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1588222616
Provider Type
Individual
Full Name
Kalway, Kenzie Jean
Credential
PT, DPT

Gender
Female
Sole Proprietor
No
Enumeration Date
6/4/2019
Last Updated
6/4/2019

Contact Information

Practice Location

15301 Grove Cir N, Maple Grove, MN 55369-4475

(952) 993-5900

Unlisted Fax

Mailing Location

2922 Dolores Dr, Saint Cloud, MN 56303-0423

(320) 249-6171

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID U0987257603	Description Other	Issuer CIGNA

Kenzie Jean Kalway

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Limesand, Caleb Duane

Eenhuis, Zachary Thomas

Paulsrud, Taylor

Diers, Bridgett Ann

Rutscher, Claire

Jardine, Sara Colleen

Bailey, Christopher J

Okonek, Kailey

Thompson, Paulette Reveiz

Bird, Michaela