Thiele, Kenneth Leo

Thiele, Kenneth Leo is an individual health care provider with primary practice located at 430 South Broad St Suite 130, Mankato MN 56001. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Thiele, Kenneth Leo can be contacted via phone (507) 387-5591.

Contact Information

Primary practice address
430 South Broad St Suite 130 Mankato MN 56001
Phone: (507) 387-5591
Fax: (507) 387-5397
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1375 Minnesota

Profile Details

NPI number 1356425367
LBN Legal business name Thiele, Kenneth Leo
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Sep 15th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356425367 NPPES
Minnesota MEDICAID 788725600

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