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Individual

DR. CORINNE ANN KENNEDY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
5422 N LOVERS LANE RD, MILWAUKEE, WI 53225-3006
(414) 438-9206
(414) 438-9208
Mailing address
5422 N LOVERS LANE RD, MILWAUKEE, WI 53225-3006
(414) 438-9206
(414) 438-9208

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2590
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38851000
WI
Enumeration date
09/16/2005
Last updated
07/08/2007
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