Individual
KORI L BIRCHENOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
53 S 3RD ST, FULTON, NY 13069-1844
(315) 593-7555
(315) 207-0023
Mailing address
425 BALDWIN RD, FULTON, NY 13069-4868
(315) 529-0678
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010641-1
NY
Other
Enumeration date
04/12/2007
Last updated
01/07/2022
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