Organization
LAURA A. KINKEAD, D.C., PA
Active
Organization
LAURA A. KINKEAD, D.C., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA ANN KINKEAD D.C. (PRESIDENT)
(727) 849-5077
Entity
Organization
Contact information
Practice address
6145 GRAND BLVD, NEW PORT RICHEY, FL 34652-2605
(727) 849-5077
(727) 849-7901
Mailing address
6145 GRAND BLVD, NEW PORT RICHEY, FL 34652-2605
(727) 849-5077
(727) 849-7901
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380322800
—
FL
Enumeration date
11/02/2010
Last updated
11/02/2010
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