Individual
DR. JOHN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
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) 979-6899
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1795
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11287
BCBS OF AL PROVIDER NO.
AL
01
—
271006696
TAX ID
AL
Enumeration date
02/20/2007
Last updated
07/22/2013
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