Wayne Sport and Spine Center, LLC

NPI #1730611138 in Wayne, Nebraska

Provider Information

NPI Number
1730611138
Entity Type
Organization
Organization Name
Wayne Sport and Spine Center, LLC
Primary Specialty
Chiropractor
Enumeration Date
Apr 3, 2017
Last Updated
Apr 14, 2017

Practice Location

Address
214 N PEARL ST
City
Wayne
ZIP Code
68787-1902
Phone
(402) 375-3000

Authorized Official

Name
DR. LEVI ERVIN KENNY, D.C.
Title
PRESIDENT
Phone
(402) 369-2017

Specialties & Taxonomy Codes

Specialty
Chiropractor

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