Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 5265 | MN |
N | 111NN1001X | Nutrition | 5265 | MN |
N | 111NR0400X | Rehabilitation Chiropractor | 5265 | MN |
NPI | 1013222835 |
---|---|
Provider Name | Dr. Kristine E. Sanders |
First Address | Minneapolis, MN 55416-2906 |
Second Address | Saint Paul, MN 55106-2414 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2010 |
Last Update Date | 17/08/2010 |