Active NPIIndividual provider

Dr. Kelly D Kennedy, DC

Chiropractor in Runnemede, New Jersey

NPI Number1578572269
Practice location
6 East First Avenue, Runnemede, NJ 08078-1101
Fax
856-939-1341
Last updated
September 21, 2011

Kelly David Kennedy is a Chiropractor based in Runnemede, NJ. Kelly David Kennedy practices in Runnemede, NJ and has the professional credentials of DC. The NPI Number for Kelly David Kennedy is 1578572269 and holds a License No. 38MC00256200 (NJ). The current practice location address for Kelly David Kennedy is 6 East First Avenue, Runnemede, NJ 08078-1101 and can be reached out via phone at 856-939-2042 and via fax at 856-939-1341.

Provider Profile Details

NPI Number
1578572269
Provider Name
Kelly David Kennedy
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
6 East First Avenue, Runnemede, NJ 08078-1101
Phone Number
856-939-2042
Fax Number
856-939-1341
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
No
Provider Enumeration Date
August 5, 2006
Last Update Date
September 21, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 East First Avenue
Runnemede, NJ 08078-1101
Zip
08078-1101
Phone Number
856-939-2042
Fax Number
856-939-1341
Runnemede, NJ 08078Get directions →

Provider Business Mailing Address Details

Address
6 East First Avenue
Runnemede, NJ 08078-1101
City
Runnemede
State
NJ
Zip
08078-1101
Phone Number
856-939-2042
Fax Number
856-939-1341

License Information

License Number
38MC00256200
License State
NJ
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kelly D Kennedy, DC?

The NPI number of Dr. Kelly D Kennedy, DC is 1578572269. It was assigned on August 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kelly D Kennedy, DC?

Dr. Kelly D Kennedy, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00256200.

Where does Dr. Kelly D Kennedy, DC practice?

The practice location is 6 East First Avenue, Runnemede, NJ 08078-1101. The office can be reached at 856-939-2042 (phone) or 856-939-1341 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578572269 directly on the NPPES registry website.

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