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HEALTHSOURCE OF EDINA
NPI 1366884900
Chiropractor in Eden Prairie, MN

Active since July 24, 2013
15670 MICHELE LN, EDEN PRAIRIE, MN 55346(612) 396-4520 Get Directions Write a Review

NPPES record last updated: July 24, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Healthsource Of Edina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHSOURCE OF EDINA (NPI 1366884900) is a healthcare organization registered as a chiropractor in Eden Prairie, Minnesota and active in the NPI registry since July 2013. The organization lists Katie Kearney-bidwell, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1366884900
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHEALTHSOURCE OF EDINA, PLLC
Location Address15670 MICHELE LNEden Prairie, MN 55346-2518
Mailing Address5107 Gus Young LaneEdina, MN 55436
Phone(612) 396-4520
Organization SubpartNo
Authorized OfficialKatie Kearney-bidwellOwner/president · (612) 396-4520
Enumeration DateJuly 24, 2013
✔ NPI 1366884900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by 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.
15670 MICHELE LN, Eden Prairie, MN 55346
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Other Names 1

Doing Business AsHealthsource Of Edina

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthsource Of Edina, PLLC's NPI number?

The NPI number for Healthsource Of Edina, PLLC is 1366884900. It was assigned to this organization in the NPPES registry on July 24, 2013. The provider is doing business as Healthsource Of Edina.

Where is Healthsource Of Edina, PLLC located?

Healthsource Of Edina, PLLC is located at 15670 Michele Ln, Eden Prairie, MN 55346. The listed phone number is (612) 396-4520.

What is Healthsource Of Edina, PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Healthsource Of Edina, PLLC was last updated on July 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.