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KENNEDY CHIROPRACTIC HEALTH AND WELLNESS CENTER INC NPI 1083845184


NPI Information

NPI: 1083845184
Provider Name: KENNEDY CHIROPRACTIC HEALTH AND WELLNESS CENTER INC

Former Legal Business Name: KENNEDY CHIROPRACTIC HEALTH AND WELLNESS CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
11 MAREBLU
120
ALISO VIEJO, CA
ZIP 92656
Phone: (949) 305-1790
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KENNEDY CHIROPRACTIC HEALTH AND WELLNESS CENTER INC is a chiropractor in Aliso Viejo, CA. The provider is 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. KENNEDY CHIROPRACTIC HEALTH AND WELLNESS CENTER INC NPI is 1083845184. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Kennedy Chiropractic Health And Wellness Center.

The provider's business location address is:

11 MAREBLU
120
ALISO VIEJO, CA
ZIP 92656-066
Phone: (949) 305-1790
Fax: (949) 305-1801

The provider's authorized official is Kris Kelly Kennedy .
The authorized official title is Owner/provider and has the following contact phone number (949) 305-1790.

The enumeration date for this NPI number is 8/6/2009 and was last updated on 8/17/2010.


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
1111N00000XChiropractorDC28686CALIFORNIAYes

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
1DC28686OTHERCALIFORNIACHIROPRACTIC LICENSE

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: 4/28/2024

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