Organization
KENNEDY AVENUE CHIROPRACTIC
Active
Other names
Kennedy ave Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD R SPROUSE DC (OWNER/ PRESIDENT)
(219) 629-2312
Entity
Organization
Contact information
Practice address
8145 KENNEDY AVE, HIGHLAND, IN 46322-1128
(219) 803-6630
(219) 937-7237
Mailing address
8145 KENNEDY AVE, HIGHLAND, IN 46322-1128
(219) 803-6630
(219) 937-7237
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300013370
—
IN
Enumeration date
10/19/2018
Last updated
03/01/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us