NPI | 1306389598 |
---|---|
Former Legal Business Name | KINKAID FAMILY CHIROPRACTIC PLLC |
Entity Type | Organization |
Authorized Contact | JESSICA MARIE DIAMOND Owner/President/Provider 518-869-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY X0128751) |
Enumeration Date | 2016-11-21 |
Last Update Date | 2022-12-05 |