| NPI | 1083845184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS KELLY KENNEDY Owner/Provider 949-305-1790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC28686) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2010-08-17 |