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Organization

KENWOOD FAMILY CHIROPRACTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KARLA TALLEDO (BILLING SPECIALIST)
(513) 792-0070
Entity
Organization

Contact information

Practice address
6934 MONTGOMERY RD, CINCINNATI, OH 45236-3821
(513) 792-0070
(513) 792-0466
Mailing address
3700 GARDEN CT, GROVE CITY, OH 43123-2906
(513) 792-0070
(513) 792-0466

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3464
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000350968
ANTHEM BCBS
OH
Enumeration date
03/06/2007
Last updated
07/31/2012
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