| NPI | 1528215860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH P. CLENIN D.O/Direct Owner 901-683-5971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN dc431) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN dc2105) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2014-05-09 |