Individual
DR. LAURA ANN KINKEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6145 GRAND BLVD, NEW PORT RICHEY, FL 34652-2605
(727) 849-5077
(727) 849-7901
Mailing address
6145 GRAND BLVD, NEW PORT RICHEY, FL 34652-2605
(727) 849-5077
(727) 849-7901
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CH6612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380322800
—
FL
Enumeration date
02/14/2006
Last updated
02/26/2013
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