Organization
KENNEDY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN PATRICK NEVILLE D.C. (OWNER)
(301) 645-7770
Entity
Organization
Contact information
Practice address
4140 CRAIN HWY, WALDORF, MD 20603-4858
(301) 645-7770
Mailing address
4140 CRAIN HWY, WALDORF, MD 20603-4858
(301) 645-7770
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01783
MD
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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