Organization
KENMORE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK J. GOLLEY D.C. (PRESIDENT/CHIROPRACTOR)
(716) 873-0500
Entity
Organization
Contact information
Practice address
2839 ELMWOOD AVE, KENMORE, NY 14217-1330
(716) 873-0500
(716) 873-0500
Mailing address
2839 ELMWOOD AVE, KENMORE, NY 14217-1330
(716) 873-0500
(716) 873-0500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012224
NY
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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