NPI | 1346370012 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL ALLEN KENNEDY President 712-225-2423 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 2982) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 4618) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2007-11-13 |