Organization
KENT ISLAND CHIROPRACTIC AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANAE N BAKER D.C. (MANAGING MEMBER)
(443) 249-3168
Entity
Organization
Contact information
Practice address
1812 MAIN ST., SUITE C, CHESTER, MD 21619
(443) 249-3168
(443) 249-3199
Mailing address
1812 MAIN ST., SUITE C, CHESTER, MD 21619
(443) 249-3168
(443) 249-3199
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
261Q00000X
Clinic/Center
03507
MD
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
06/17/2008
Last updated
05/28/2020
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