Kennedy Burgess, D.C.
Individual provider Active NPI Chiropractor · Hudson, OH
NPI 1457049033 · NPPES record last updated May 1, 2023
Key facts
- NPI
- 1457049033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC-05260 (OH)
- Practice address
- 5111 Darrow Rd
Hudson, OH 44236-4003 - Phone
- (330) 618-3070
- NPI assigned
- May 1, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bue Chiropractic LLC, Dba the Chiropractic Wellness Center of Hudson
Practice addresses (Care Compare)
5111 Darrow Rd
Hudson, OH 44236-4003
Phone (330) 656-1977
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230711002470 | OH | Practitioner - Chiropractic | 1759740582 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-05260 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bue Chiropractic LLC, Dba the Chiropractic Wellness Center of Hudson | Chiropractor | Current |
Accepting new patients |
Locations
5111 Darrow Rd
Hudson, OH 44236
Phone (330) 655-2668
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-05260 | OH | Yes |
Addresses
Primary practice location
5111 Darrow Rd
Hudson, OH 44236-4003
Mailing address
5111 Darrow Rd
Hudson, OH 44236-4003
Phone (330) 618-3070
Other providers in Hudson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.