person
Dr. Kenneth Demarest, DC
Chiropractor in Hartford, Connecticut
NPI 1134133846

Kenneth Demarest is a Chiropractor based in Hartford, CT. Kenneth Demarest practices in Hartford, CT and has the professional credentials of DC. The NPI Number for Kenneth Demarest is 1134133846 and holds a License No. 001360 (Connecticut).

The current practice location address for Kenneth Demarest is 740 Maple Ave, Hartford, CT and can be reached out via phone at 860-296-0090 and via fax at 860-296-1520. You can also correspond with Kenneth Demarest through the mailing address at 740 MAPLE AVE, HARTFORD, CT - 06114-2314 (mailing address contact number: 860-296-0090).

Location: 740 Maple Ave, Hartford, CT, 06114-2314
person
Provider Profile Details
NPI Number
1134133846
Provider Name
Kenneth Demarest
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
740 Maple Ave, Hartford, CT, 06114-2314
Phone Number
860-296-0090
Fax Number
860-296-1520
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10450156 01 CT CAQH
7163301 01 CT AETNA NON HMO/PPO#
CT0847 01 CT LANDMARK/HEALTH NET
050001360CT04 01 CT BCBS
1289267 01 CT AETNA HMO#
1034337 01 CT ASHN
001360 01 CT STATE LICENSE #
institution
Provider Business Practice Location Address Details
Address
740 Maple Ave
City
State
Zip
06114-2314
Phone Number
860-296-0090
Fax Number
860-296-1520
person
Provider Business Mailing Address Details
Address
740 Maple Ave
City
State
Zip
06114-2314
Phone Number
860-296-0090
Fax Number
860-296-1520
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
001360 (Connecticut)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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