Organization
AMY L. KENNEDY CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY L. KENNEDY D.C. (CEO/OWNER)
(310) 832-4476
Entity
Organization
Contact information
Practice address
660 W 7TH ST, SAN PEDRO, CA 90731-3118
(310) 832-4476
(310) 832-7034
Mailing address
1536 W 25TH ST # 543, SAN PEDRO, CA 90732-4415
(310) 832-4476
(310) 832-7034
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC26747
CA
111NR0400X
Rehabilitation Chiropractor
DC26747
CA
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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