Individual
DR. KENNETH DICARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
351 MONMOUTH ROAD, WEST LONG BRANCH, NJ 07764
(732) 222-7978
(732) 222-7150
Mailing address
351 MONMOUTH ROAD, WEST LONG BRANCH, NJ 07764
(732) 222-7978
(732) 222-7150
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
MC02860
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3298906
—
NJ
Enumeration date
10/10/2006
Last updated
07/09/2007
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