# LAURA A. KINKEAD, D.C., PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164722427
- **Authorized official:** DR. LAURA ANN KINKEAD D.C. (PRESIDENT)
- **Authorized official phone:** (727) 849-5077

## Contact information

- **Practice address:** 6145 GRAND BLVD, NEW PORT RICHEY, FL 34652-2605
- **Practice address phone:** (727) 849-5077
- **Practice address fax:** (727) 849-7901
- **Mailing address:** 6145 GRAND BLVD, NEW PORT RICHEY, FL 34652-2605
- **Mailing address phone:** (727) 849-5077
- **Mailing address fax:** (727) 849-7901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | — | NULL | Yes |
| 111NN1001X | Nutrition Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2010
- **Last updated:** 11/02/2010