# KENNEDY CHIROPRACTIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144411661
- **Authorized official:** DOUGLAS ROBERT KENNEDY D.C. (MEMBER)
- **Authorized official phone:** (303) 546-6325

## Contact information

- **Practice address:** 3405 PENROSE PL, SUITE 106, BOULDER, CO 80301-1818
- **Practice address phone:** (303) 546-6325
- **Practice address fax:** (303) 449-4229
- **Mailing address:** 3405 PENROSE PL, SUITE 106, BOULDER, CO 80301-1818
- **Mailing address phone:** (303) 546-6325
- **Mailing address fax:** (303) 449-4229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 3147 | CO | Yes |

## Other

- **Enumeration date:** 08/08/2007
- **Last updated:** 08/08/2007