Kenul Chiropractic Pllc | Medford, NY • PECOS Search

Kenul Chiropractic Pllc

Chiropractor

Chiropractic Providers

987 N Ocean Ave, Medford, NY 11763-3532

PECOS Enrollment

Based on the most recent information from CMS, provider Kenul Chiropractic Pllc 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
1720604127
Provider Type
Organization
Full Name
Kenul Chiropractic Pllc

Subpart
No
Enumeration Date
6/22/2020
Last Updated
6/22/2020

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

Authorized Official

Kenul, Dillon (Owner)

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License Unlisted Issuer