Individual
KRISTIN KUKENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
7000 E GENESEE ST BLDG C, FAYETTEVILLE, NY 13066-1131
(315) 314-3900
Mailing address
7000 E GENESEE ST BLDG C, FAYETTEVILLE, NY 13066-1131
(315) 314-3900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
70 012841
NY
Other
Enumeration date
02/01/2016
Last updated
08/04/2023
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