Organization
KENNEDY CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK DAVID KENNEDY DC (OWNER)
(540) 375-9220
Entity
Organization
Contact information
Practice address
1461 W MAIN ST, SALEM, VA 24153-3120
(540) 375-9220
(540) 375-9229
Mailing address
1461 W MAIN ST, SALEM, VA 24153-3120
(540) 375-9220
(540) 375-9229
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0104555747
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043389828
NOI NUMBER
VA
01
—
1093015554
NPI NUMBER
VA
01
—
1508935362
NPI NUMBER
VA
Enumeration date
06/09/2008
Last updated
01/16/2013
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