Cynthia Mary Kennelly, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC004703L Issued in PA

Practice address

131 W 8TH St
Wyoming, PA 18644-1607

Phone

(570) 693-9393

Fax

(570) 693-2703

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 8TH St Family Chiropractic Center

  • Chiropractor
  • Wyoming, PA
  • NPI 1609063221
  NPD (past) Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1356438873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W 8TH ST",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441607",
            "telephone_number": "570-693-9393",
            "fax_number": "570-693-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W 8TH ST",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441607",
            "telephone_number": "570-693-9393",
            "fax_number": "570-693-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNELLY",
        "first_name": "CYNTHIA",
        "middle_name": "MARY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004703L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "691197",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001432305001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Anthony Hilinski, DMD
• Karen M Johns, LCSW
• Charles A. Karcutskie, DMD
• Carolyn Karosa, CCC,SLP
• Maria Theresa Karpovich, RPH
• Elias Aaron Kerr, OTR-L
• Keystone Drug and Alcohol
• Angela Kleback
• Lisa Michaelene Latoski
• Lingua Speech, Swallow, and Voice Services

• Chiropractor in Wyoming, PA
• Providers in Wyoming, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.