Individual
DR. JESSICA ANN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
125 N CENTRAL AVE, VALLEY STREAM, NY 11580-3822
(610) 334-4328
Mailing address
125 N CENTRAL AVE, VALLEY STREAM, NY 11580-3822
(610) 334-4328
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011064-1
NY
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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