SearchMinnesota103TC2200X

Kent Kodalen, PH.D

NPI 1881006880 · on the registry since 2014 · sole proprietor

Practice

Address
2525 Chicago Ave
Mail Stop 17-217
Minneapolis, MN 55404
Phone
(612) 813-7042
Organisation at this address
Children'S Health Care
Pediatric Radiology, P.A.
Minneapolis Childrens Hospital
Children'S Hospital & Clinics Of Mn
Inferred from a shared address, not stated in the registry.
Clinicians at this address
539

Registry record

Primary taxonomy
103TC2200X
103TC2200X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-05-24

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