Organization
KENNETH Y. DAVIS D.C.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH YALE DAVIS D.C. (PRESIDENT)
(973) 744-7447
Entity
Organization
Contact information
Practice address
363 BLOOMFIELD AVE, SUITE 2E, MONTCLAIR, NJ 07042-3655
(973) 744-7447
(973) 744-7449
Mailing address
363 BLOOMFIELD AVE, SUITE 2E, MONTCLAIR, NJ 07042-3655
(973) 744-7447
(973) 744-7449
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
38MC00160000
NJ
Other
Enumeration date
02/29/2012
Last updated
09/11/2013
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