Organization
KENNY CLINIC OF CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN RICHARD KERRY DC (PRESIDENT CHIROPRACTIC PHYSICIAN)
(336) 889-3831
Entity
Organization
Contact information
Practice address
2400 S MAIN STREET, HIGH POINT, NC 27263-1945
(336) 889-3831
(336) 889-7269
Mailing address
PO BOX 2452, 2400 S MAIN STREET, HIGH POINT, NC 27263-1945
(336) 889-3831
(336) 889-7269
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1054
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08557
BLUE CROSS BLUE SHIELD
NC
01
—
3105
PARTNERS INSURANCE
NC
Enumeration date
11/07/2006
Last updated
08/22/2020
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