Kenmore Chiropractic PC

NPI #1790022424 in Kenmore, New York

Provider Information

NPI Number: 1790022424
Entity Type: Organization
Organization Name: Kenmore Chiropractic PC
Primary Specialty: Chiropractor
Enumeration Date: Jan 15, 2013
Last Updated: Jan 15, 2013

Practice Location

Address: 2839 ELMWOOD AVE
City: Kenmore
State: New York
ZIP Code: 14217-1330
Phone: (716) 873-0500

Authorized Official

Name: DR. DEREK J. GOLLEY, D.C.
Title: PRESIDENT/CHIROPRACTOR
Phone: (716) 873-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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