Kennedy Chiropractic Inc.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

0104555747 Issued in VA

Legal business name

KENNEDY CHIROPRACTIC INC.

Practice address

1461 W Main St
Salem, VA 24153-3120

Phone

(540) 375-9220

Fax

(540) 375-9229

NPI assigned

Jun 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Patrick David Kennedy, DCNPI 1043389828

Title

Owner

Phone

(540) 375-9220

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick D Kennedy, DC

  • Chiropractor
  • Salem, VA
  • NPI 1043389828
  NPD (past) Authorized official
• Joshua D Rhodes, D.C.

  • Chiropractor
  • Roanoke, VA
  • NPI 1801134127
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1033379573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 W MAIN ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533120",
            "telephone_number": "540-375-9220",
            "fax_number": "540-375-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 W MAIN ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533120",
            "telephone_number": "540-375-9220",
            "fax_number": "540-375-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-375-9220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104555747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1508935362",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOI NUMBER",
            "identifier": "1043389828",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1093015554",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renae A Keffer
• Johnna Lynette Kelley, PSY.D.
• Misty Rose Kelley
• Michael Thomas Kelly, D.O.
• James C Kemper, DDS
• Jordan Kennedy, LPC
• Mia M Kennedy, DC
• Patrick Kennedy
• Patrick D Kennedy, DC
• Priscilla Kennedy, DO

• Sports Physician Chiropractor in Salem, VA
• Providers in Salem, VA by specialty
• Sports Physician Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.