SearchMinnesota101YP2500X

Kellan Vencil

NPI 1083143655 · on the registry since 2017

Practice

Address
1875 Station Pkwy Nw
Andover, MN 55304
Phone
(763) 482-9598
Organisation at this address
Rum River Counseling, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
56

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YA0400X
Licence states on file
NE, MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota