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SHELBY N KENISON ATC
NPI 1790020949
Physical Medicine & Rehabilitation - Sports Medicine in Clarks Grove, MN

Active since November 29, 2012
28675 740TH AVE, CLARKS GROVE, MN 56016(507) 213-3487 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shelby N Kenison Atc NPPES

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

SHELBY N KENISON ATC (NPI 1790020949) is an individual sports medicine provider in Clarks Grove, Minnesota, licensed in Minnesota (2306) and active in the NPI registry since November 2012. She maintains a secondary practice location in Clarks Grove.

NPPES Registry Identity

NPI1790020949
Entity TypeIndividualFemale
Primary Taxonomy2081S0010X
Provider Legal NameSHELBY N KENISONCredential: ATC
Location Address28675 740TH AVEClarks Grove, MN 56016-4041
Mailing Address28675 740th AveClarks Grove, MN 56016-4041 · (507) 213-3487
Phone(507) 213-3487
Sole ProprietorNo
Enumeration DateNovember 29, 2012
Last NPPES UpdateMarch 11, 2020
NPPES CertifiedMarch 11, 2020
✔ NPI 1790020949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in MN · 2306
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
28675 740TH AVE, Clarks Grove, MN 56016
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Other Names 1

Former Name (1)Shelby N Vietze Atc

Secondary Practice Location 1

Location 1103 Independence Ave SClarks Grove, MN 56016-7704 · Phone (507) 213-3487

Other Identifiers 1

Other1790020949MN · Npi

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 Shelby Kenison's NPI number?

The NPI number for Shelby Kenison is 1790020949. It was assigned to this individual provider in the NPPES registry on November 29, 2012. The provider is also known as Shelby N Vietze Atc.

Where is Shelby Kenison located?

Shelby Kenison practices at 28675 740th Ave, Clarks Grove, MN 56016. The listed phone number is (507) 213-3487.

What is Shelby Kenison's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Shelby Kenison was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.