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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