Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shelby N Kenison, ATC

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1790020949

Shelby N Kenison, ATC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Clarks Grove, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2012
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

28675 740th Ave
Clarks Grove, MN 56016-4041
Phone: (507) 213-3487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 103 Independence Ave S, Clarks Grove, MN 56016-7704 — (507) 213-3487

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 2306 (MN)

Record details

NPI number1790020949
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedNovember 29, 2012
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020