Individual
DR. MICHAEL H. KENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
239 S BUCKHOUT ST, IRVINGTON, NY 10533-2208
(914) 231-7691
Mailing address
239 S BUCKHOUT ST, IRVINGTON, NY 10533-2208
(914) 231-7691
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005546
NY
183500000X
Pharmacist
030852
NY
183500000X
Pharmacist
PS43509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X005546
CHIROPRACTIC LIC #
NY
Enumeration date
04/03/2007
Last updated
08/14/2014
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