Provider Demographics
NPI:1821326265
Name:MCMANUS, KATHLEEN A (DC)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:A
Last Name:MCMANUS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 STATE ST
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2471
Mailing Address - Country:US
Mailing Address - Phone:203-641-5806
Mailing Address - Fax:203-453-2822
Practice Address - Street 1:133 STATE ST
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2471
Practice Address - Country:US
Practice Address - Phone:203-641-5806
Practice Address - Fax:203-453-2822
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-23
Last Update Date:2016-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001806111N00000X
MA3252111N00000X
NH8521105111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor