Organization
KENNEDY CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY KENNEDY DC (OWNER)
(601) 824-4217
Entity
Organization
Contact information
Practice address
393 CROSSGATES BLVD, SUITE B, BRANDON, MS 39042
(601) 824-4217
(601) 824-4218
Mailing address
393 CROSSGATES BLVD, SUITE B, BRANDON, MS 39042
(601) 824-4217
(601) 824-4218
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
947
MS
Other
Enumeration date
09/05/2012
Last updated
12/31/2012
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