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Organization
KENNEDY CHIROPRACTIC HEALTH AND WELLNESS CENTER INC
Active
Organization
KENNEDY CHIROPRACTIC HEALTH AND WELLNESS CENTER INC
Active
Other names
Kennedy Chiropractic Health and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRIS KELLY KENNEDY D.C., L.AC. (OWNER/PROVIDER)
(949) 305-1790
Entity
Organization
Contact information
Practice address
11 MAREBLU, 120, ALISO VIEJO, CA 92656-3066
(949) 305-1790
(949) 305-1801
Mailing address
15550 ROCKFIELD BLVD, B220, IRVINE, CA 92618-2720
(949) 598-9999
(949) 598-9990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC28686
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC28686
CHIROPRACTIC LICENSE
CA
Enumeration date
08/06/2009
Last updated
08/17/2010
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