Individual
DR. KENNETH RICHARD DEGROAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
333 MAIN ST, KEYPORT, NJ 07735-1469
(732) 888-0343
(732) 888-9145
Mailing address
333 MAIN ST, KEYPORT, NJ 07735-1469
(732) 888-0343
(732) 888-9145
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3108
NJ
Other
Enumeration date
02/01/2007
Last updated
10/30/2007
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