# KENNARD CHIROPRACTIC & PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1750573051
- **Authorized official:** DR. ROSS YEAGERS KENNARD DC (PRESIDENT)
- **Authorized official phone:** (410) 421-5544

## Contact information

- **Practice address:** 650 RITCHIE HWY, SUITE 106, SEVERNA PARK, MD 21146-3916
- **Practice address phone:** (410) 421-5544
- **Mailing address:** 650 RITCHIE HWY, SUITE 106, SEVERNA PARK, MD 21146-3916
- **Mailing address phone:** (410) 421-5544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 02056 | MD | Yes |

## Other

- **Enumeration date:** 08/10/2007
- **Last updated:** 11/18/2007