Dillon Kenul | Medford, NY • PECOS Search

Dillon Kenul

Chiropractor

Chiropractic Providers

987 N Ocean Ave, Medford, NY 11763-3532

PECOS Enrollment

Based on the most recent information from CMS, provider Dillon Kenul does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1548802580
Provider Type
Individual
Full Name
Kenul, Dillon
Title
Dr.
Credential
DC

Gender
Male
Sole Proprietor
No
Enumeration Date
10/10/2019
Last Updated
10/10/2019

Contact Information

Practice Location

987 N Ocean Ave, Medford, NY 11763-3532

Unlisted Fax

Mailing Location

987 N Ocean Ave, Medford, NY 11763-3532

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 013288 New York