Organization
8TH ST FAMILY CHIROPRACTIC CENTER
Active
Other names
CYNTHIA M KENNELLY
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA M KENNELLY DC (OWNER)
(570) 693-9393
Entity
Organization
Contact information
Practice address
131 W 8TH ST, WYOMING, PA 18644-1607
(570) 693-9393
(570) 693-6178
Mailing address
131 W 8TH ST, WYOMING, PA 18644-1607
(570) 693-9393
(570) 693-6178
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004703L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014323050001
—
PA
01
—
691197
BLUE SHIELD
PA
01
—
805042
FIRST PRIORITY HEALTH
PA
Enumeration date
09/27/2007
Last updated
12/02/2011
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