| NPI | 1447203013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY J KENNY Owner/Chiropractor 920-468-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 2502-012) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4214-012) |
| 207R00000X Internal Medicine (Licence: WI 25884-020) | |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: WI 1221-033) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |