Individual
DR. JENNIFER KISSANE HAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
11 MAPLE AVE, GREENWICH, CT 06830
(203) 661-6629
(203) 661-9861
Mailing address
11 MAPLE AVE, GREENWICH, CT 06830
(203) 661-6629
(203) 661-9861
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001278
CT
111N00000X
Chiropractor
X007920
NY
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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