NPI
Kendall A Boline Fenstra
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- DC
- Type
- Individual
- Enumeration date
- 2007-07-16
- Last updated
- 2015-06-19
Specialties
Licenses
- License MN
- 3122
Location
- Practice location
- 1101 S 1st St
- City
- Willmar MN
- Postal code
- 56201
- Phone
- (320) 235-0515
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Willmar, MN. 999 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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