Individual
DR. AMY L KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
28924 S WESTERN AVE, SUITE 208, RANCHO PALOS VERDES, CA 90275-0885
(310) 831-8833
(310) 831-8831
Mailing address
28924 S WESTERN AVE, SUITE 208, RANCHO PALOS VERDES, CA 90275-0885
(310) 831-8833
(310) 831-8831
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC26747
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800040509
TAX IDENTIFICATION NUMBER
CA
Enumeration date
03/08/2007
Last updated
03/14/2011
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