Active NPI
Kenwood Merlyn Rund, D.C.
- Neurology Chiropractor
- Glencoe, MN
National Provider Identifier
1861539777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 1535
- Practice address
- 1123 Hennepin Ave
Glencoe, MN 55336-2206 - Phone
- (320) 864-6249
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 1535 | MN | Primary |
Addresses
Primary practice location
1123 Hennepin Ave
Glencoe, MN 55336-2206
Mailing address
1123 Hennepin Ave
Glencoe, MN 55336-2206
Phone (320) 864-6249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1535 | MN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861539777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 HENNEPIN AVE",
"city": "GLENCOE",
"state": "MN",
"postal_code": "553362206",
"telephone_number": "320-864-6249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 HENNEPIN AVE",
"city": "GLENCOE",
"state": "MN",
"postal_code": "553362206",
"telephone_number": "320-864-6249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUND",
"first_name": "KENWOOD",
"middle_name": "MERLYN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "MN",
"license": "1535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glencoe, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.