KENNEDY PAIN CLINIC GROUP LLC NPI 1821492695

NPI Information

KENNEDY PAIN CLINIC GROUP LLC is an acupuncturist in Bradenton, FL. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. KENNEDY PAIN CLINIC GROUP LLC NPI is 1821492695. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5255 OFFICE PARK BLVD
SUITE 107
BRADENTON, FL
ZIP 34203
Phone: (941) 751-2345

The provider's authorized official is Nancie Jean Brenes .
The authorized official title is Owner , Physician and has the following contact phone number (941) 751-2345.

The CLIA number assigned to this NPI record is 10D2193800 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2014 and was last updated on 10/22/2014.

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:

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