Individual
LYDIA J KINKEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C,
Contact information
Practice address
865B HOLCOMB BRIDGE RD, ROSWELL, GA 30076-1954
(770) 992-8337
(770) 518-6373
Mailing address
865B HOLCOMB BRIDGE RD, ROSWELL, GA 30076-1954
(770) 992-8337
(770) 518-6373
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR005154
GA
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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