Individual
DR. GERALD RICHARD KENNEDY JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
28 N 10TH ST, OOSTBURG, WI 53070-1181
(920) 564-6653
Mailing address
28 N 10TH ST, OOSTBURG, WI 53070-1181
(920) 564-6653
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2099012
WI
Other
Enumeration date
08/16/2005
Last updated
07/08/2007
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