| NPI | 1407404569 |
|---|---|
| Other Name | KENNEDY AVE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | AHMAD SPROUSE Owner 219-803-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2022-03-01 |