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1750787586
TIMOTHY MICHAEL KENNEDY
PORT ST LUCIE, FL
NPI
1750787586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: FL CH11346)
Enumeration Date
2014-11-05
Last Update Date
2019-01-10
Business Address
TIMOTHY MICHAEL KENNEDY DC
1680 SW SAINT LUCIE WEST BLVD STE 204
PORT ST LUCIE, FL 34986
Phone number: 772-212-1111
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Mailing Address
TIMOTHY MICHAEL KENNEDY DC
318 SE FISK RD
PORT ST LUCIE, FL 34984-8920
Phone number: 860-883-5850
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