Individual provider · Type 1 NPI

Kenneth Duane Pearson

Driver · Sandstone, MN

NPI number 1265119978 Active

Practice location

606 Highway 123 W
Sandstone, MN 55072-5060

Call (320) 245-5355 Map

Fax (320) 216-7638

Mailing address

PO Box 26
Sandstone, MN 55072-0026

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XZ716244577114 (MN)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1265119978

Kenneth Duane Pearson's National Provider Identifier is 1265119978, issued on Jul 4, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Sandstone, MN. The record was last updated on Jul 4, 2023.