Individual
KATHLEEN LYNN HENNEBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
196 LINWOOD AVE, BUFFALO, NY 14209-2010
(716) 400-9462
Mailing address
369 DELAWARE AVENUE, BUFFALO, NY 14202
(716) 854-1563
(716) 854-1567
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
70011732
NY
Other
Enumeration date
08/27/2009
Last updated
04/14/2015
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