| NPI | 1033379573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK DAVID KENNEDY Owner 540-375-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: VA 0104555747) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2013-01-16 |