Organization
KENNEDY CHIROPRACTIC OFFICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALLEN KENNEDY DC (PRESIDENT)
(712) 225-2423
Entity
Organization
Contact information
Practice address
701 S 2ND ST, CHEROKEE, IA 51012-2178
(712) 225-2423
(712) 225-2621
Mailing address
701 S 2ND ST, P O BOX 59, CHEROKEE, IA 51012-2178
(712) 225-2423
(712) 225-2621
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2982
IA
111N00000X
Chiropractor
4618
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445650
—
IA
01
—
CH1451
RAILROAD
IA
Enumeration date
03/06/2007
Last updated
11/13/2007
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