Individual
DR. GERALD ANTHONY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1632 LEBANON AVE, BELLEVILLE, IL 62221-2466
(618) 310-1499
(314) 558-4396
Mailing address
1632 LEBANON AVE, BELLEVILLE, IL 62221-2466
(618) 310-1499
(314) 558-4396
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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