Individual
DR. MIRANDA L KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1145 ROUTE 55 STE 5, LAGRANGEVILLE, NY 12540-5047
(845) 473-6620
(845) 473-0407
Mailing address
1145 ROUTE 55 STE 5, LAGRANGEVILLE, NY 12540-5047
(845) 473-6620
(845) 473-0407
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010188
NY
Other
Enumeration date
10/13/2006
Last updated
11/11/2010
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