Individual
JASON BRENT KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9810 LAKE FOREST BLVD, STE 101, NEW ORLEANS, LA 70127
(504) 242-4221
Mailing address
9810 LAKE FOREST BLVD, STE 101, NEW ORLEANS, LA 70127
(504) 242-4221
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1143
LA
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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