# KENNEDY PAIN CLINIC GROUP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1821492695
- **Authorized official:** NANCIE JEAN BRENES AP, DOM (OWNER , PHYSICIAN)
- **Authorized official phone:** (941) 751-2345

## Contact information

- **Practice address:** 5255 OFFICE PARK BLVD, SUITE 107, BRADENTON, FL 34203
- **Practice address phone:** (941) 751-2345
- **Mailing address:** 5255 OFFICE PARK BLVD, SUITE 107, BRADENTON, FL 34203
- **Mailing address phone:** (941) 751-2345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP2026 | FL | Yes |

## Other

- **Enumeration date:** 10/22/2014
- **Last updated:** 10/22/2014