# KENWOOD FAMILY CHIROPRACTIC LLC

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

## Provider details

- **NPI number:** 1811027295
- **Authorized official:** KARLA TALLEDO (BILLING SPECIALIST)
- **Authorized official phone:** (513) 792-0070

## Contact information

- **Practice address:** 6934 MONTGOMERY RD, CINCINNATI, OH 45236-3821
- **Practice address phone:** (513) 792-0070
- **Practice address fax:** (513) 792-0466
- **Mailing address:** 3700 GARDEN CT, GROVE CITY, OH 43123-2906
- **Mailing address phone:** (513) 792-0070
- **Mailing address fax:** (513) 792-0466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3464 | OH | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 07/31/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000350968 | ANTHEM BCBS | OH |