Kennedy Avenue Wellness

NPI #1093138190 in Highland, Indiana

Provider Information

NPI Number: 1093138190
Entity Type: Organization
Organization Name: Kennedy Avenue Wellness
Primary Specialty: Chiropractor
Enumeration Date: Jan 24, 2014
Last Updated: Jan 26, 2016

Practice Location

Address: 2116 45TH ST
City: Highland
State: Indiana
ZIP Code: 46322-3742
Phone: (219) 924-7626

Authorized Official

Name: MICHAEL VANDERSLUIS
Title: OWNER
Phone: (219) 924-7626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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