Organization
WAYNE SPORT AND SPINE CENTER, LLC
Active
Other names
Wayne Sport & Spine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEVI ERVIN KENNY D.C. (PRESIDENT)
(402) 369-2017
Entity
Organization
Contact information
Practice address
214 N PEARL ST, WAYNE, NE 68787-1902
(402) 375-3000
(402) 375-1866
Mailing address
214 N PEARL ST, WAYNE, NE 68787-1902
(402) 375-3000
(402) 375-1866
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1935
NE
Other
Enumeration date
04/03/2017
Last updated
04/14/2017
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