Dr. Kenneth Warren Odegaard Ii is a Minneapolis, Minnesota based male chiropractor with 44 years of experience in General Chiropractor. He completed his graduation from Northwestern College Of Chiropractic in 1980. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Kenneth Warren Odegaard Ii as General Chiropractor is 1664 in Minnesota. Dr. Kenneth Warren Odegaard Ii is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Kenneth Warren Odegaard Ii speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
44+ years
Medical School Attended:
Northwestern College Of Chiropractic
Graduation Year:
1980
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
21 4th St Ne, Minneapolis, Minnesota, 55413-2219
Phone:
612-379-2344
Fax:
612-379-2751
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2062501935
Enrollment ID:
I20071129000347
NPI Number:
1477651685
NPI Enumeration Date:
20 Sep, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth Warren Odegaard Ii are as mentioned below.
License Number
Specialization
State
Status
1664
Chiropractor
Minnesota
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kenneth Warren Odegaard Ii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
26583OD
Other
Minnesota
MINNESOTA BLUE CROSS/BLUE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
21 4th St Ne, Minneapolis, Minnesota
Zip:
55413-2219
Phone Number:
612-379-2344
Fax Number:
612-379-2751
Patients can reach Dr. Kenneth Warren Odegaard Ii at 21 4th St Ne, Minneapolis, Minnesota or can call to book an appointment on 612-379-2344. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.