Kilkenny Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KILKENNY CHIROPRACTIC, LLC

Practice address

3592 Aloma Ave Ste 3
Winter Park, FL 32792-4012

Phone

(407) 706-1420

Fax

(407) 673-4534

NPI assigned

Aug 24, 2022

Last updated

Aug 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth A Whooley, DCNPI 1083710412

Title

Chiropractor/Owner

Phone

(407) 706-1420

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Ann Whooley, D.C.

  • Chiropractor
  • Winter Park, FL
  • NPI 1083710412
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1255050035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3592 ALOMA AVE STE 3",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924012",
            "telephone_number": "407-706-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 ALOMA AVE STE 3",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924012",
            "telephone_number": "407-706-1420",
            "fax_number": "407-673-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILKENNY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "WHOOLEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "407-706-1420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.