Organization
KENNEDY PAIN CLINIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCIE JEAN BRENES AP, DOM (OWNER , PHYSICIAN)
(941) 751-2345
Entity
Organization
Contact information
Practice address
5255 OFFICE PARK BLVD, SUITE 107, BRADENTON, FL 34203
(941) 751-2345
Mailing address
5255 OFFICE PARK BLVD, SUITE 107, BRADENTON, FL 34203
(941) 751-2345
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2026
FL
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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