# DR. MICHAEL H. KENNIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1114048550
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X005546 | NY | Yes |
| 183500000X | Pharmacist | 030852 | NY | — |
| 183500000X | Pharmacist | PS43509 | FL | — |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 08/14/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | X005546 | CHIROPRACTIC LIC \# | NY |