Organization
BELLEVUE TOTAL HEALTH, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY J KENNY DC (OWNER/CHIROPRACTOR)
(920) 468-8288
Entity
Organization
Contact information
Practice address
2763 MANITOWOC RD, STE B, GREEN BAY, WI 54311-6633
(920) 468-8288
(920) 468-9887
Mailing address
2763 MANITOWOC RD, STE B, GREEN BAY, WI 54311-6633
(920) 468-8288
(920) 468-9887
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2502-012
WI
111N00000X
Chiropractor
4214-012
WI
207R00000X
Internal Medicine Physician
25884-020
WI
363LX0106X
Occupational Health Nurse Practitioner
Primary
1221-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21250700
—
WI
05
—
39002800
—
WI
Enumeration date
05/18/2006
Last updated
09/11/2025
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