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JOHN KENNEDY DC PC NPI 1619090842


NPI Information

NPI: 1619090842
Provider Name: JOHN KENNEDY DC PC
Classification: Chiropractor - 111NS0005X
Entity Type: Organization

Specialization: Sports Physician

Address:
1951 HOOVER CT
SUITE 101
HOOVER, AL
ZIP 35226
Phone: (205) 979-5692
Get Directions

JOHN KENNEDY DC PC is a sports physician chiropractor in Hoover, AL. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. JOHN KENNEDY DC PC NPI is 1619090842. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1951 HOOVER CT
SUITE 101
HOOVER, AL
ZIP 35226-606
Phone: (205) 979-5692
Fax: (205) 979-3697

The provider's authorized official is John Kennedy .
The authorized official title is Doctor Of Chiropractic and has the following contact phone number (205) 979-5692.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 6/20/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NS0005XChiropractorSports Physician1795ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
127-1006696OTHERALABAMANEW BUSINESS EIN
2051511287MEDICARE ID-TYPE UNSPECIFIEDALABAMA
3U68554MEDICARE UPINALABAMA
451511287OTHERALABAMABCBS AL
5=========OTHERALABAMAEIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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