Organization
JOHN KENNEDY DC PC
Active
Organization
JOHN KENNEDY DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KENNEDY DC (DOCTOR OF CHIROPRACTIC)
(205) 979-5692
Entity
Organization
Contact information
Practice address
1951 HOOVER CT, SUITE 101, HOOVER, AL 35226-3606
(205) 979-5692
(205) 979-3697
Mailing address
1951 HOOVER CT, SUITE 101, HOOVER, AL 35226-3606
(205) 979-5692
(205) 979-3697
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1795
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51511287
BCBS AL
AL
Enumeration date
04/10/2007
Last updated
06/20/2013
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