Individual
DR. JARED R KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2035 W ILES AVE, SUITE A, SPRINGFIELD, IL 62704-4192
(217) 787-9100
(217) 787-6616
Mailing address
2035 W ILES AVE, SUITE A, SPRINGFIELD, IL 62704-4192
(217) 787-9100
(217) 787-6616
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011926
IL
Other
Enumeration date
03/03/2011
Last updated
05/02/2011
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