| NPI | 1144501495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KENNEDY Sole Member 205-979-5692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: AL 1795) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2013-07-11 |