Kenneth Wayne Connolly, DC
Individual provider Active NPI Chiropractor · McKinney, TX
NPI 1417028366 · NPPES record last updated May 22, 2014
Key facts
- NPI
- 1417028366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4949 (TX)
- Practice address
- 2479 County Road 856
McKinney, TX 75071-6894 - Phone
- (214) 906-3824
- Fax
- (214) 733-8858
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4949 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A K Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4949 | TX | Yes |
Addresses
Primary practice location
2479 County Road 856
McKinney, TX 75071-6894
Mailing address
2538 CR 852
McKinney, TX 75071-6897
Phone (214) 906-3824
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.