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Organization

CLK MEDICAL CONSULTING, PLLC

Active
Other names
Expert Medical Care
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL A KENNEDY D.O. (CMO/ PRESIDENT)
(631) 923-2139
Entity
Organization

Contact information

Practice address
226B NEW YORK AVENUE, HUNTINGTON, NY 11743
(631) 923-2139
Mailing address
226 B. NEW YORK AVE, HUNTINGTON, NY 11743
(631) 923-2139

Taxonomy

Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
171806-1
NY

Other

Enumeration date
04/01/2011
Last updated
05/20/2011
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