Individual
DR. MICHAEL C KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3580 RTE 281, CORTLAND, NY 13045
(607) 753-6806
(607) 753-0080
Mailing address
3580 RTE 281, CORTLAND, NY 13045
(607) 753-6806
(607) 753-0080
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X4430
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C04430-7
NY STATE WORK COMP. NUM.
NY
Enumeration date
03/08/2007
Last updated
07/08/2007
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