Provider Demographics
NPI:1659307411
Name:LENIHAN, JOHN KENNETH (CHIROPRACTER)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:KENNETH
Last Name:LENIHAN
Suffix:
Gender:M
Credentials:CHIROPRACTER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6595 NW 36 ST
Mailing Address - Street 2:SUITE 214
Mailing Address - City:VIRGINIA GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33166
Mailing Address - Country:US
Mailing Address - Phone:305-219-8593
Mailing Address - Fax:
Practice Address - Street 1:6595 NW 36 ST
Practice Address - Street 2:SUITE 214
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166
Practice Address - Country:US
Practice Address - Phone:305-219-8593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7062111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor