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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.

Location: 740 Maple Ave, Hartford, CT, 06114-2314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Hartford
State
Connecticut
Zip
06114-2314
Phone Number
860-296-0090
Fax Number
860-296-1520
person
Provider Business Mailing Address Details
Address
740 Maple Ave
City
Hartford
State
Connecticut
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
111N00000X
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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