Individual
MR. STEVEN THOMAS KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11515 W NORTH AVE, WAUWATOSA, WI 53226-2127
(414) 257-2575
(414) 257-1778
Mailing address
11515 W NORTH AVE, WAUWATOSA, WI 53226-2127
(414) 257-2575
(414) 257-1778
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2501
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38845500
—
WI
Enumeration date
07/17/2006
Last updated
10/18/2010
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