Active NPI
Kathleen Marie Kinney, D.C.
- Chiropractor
- Hayward, CA
National Provider Identifier
1689717324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 18481
- Practice address
- 25001 Industrial Blvd
Hayward, CA 94545-2801 - Phone
- (510) 780-4599
- Fax
- (510) 780-4511
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 18481 | CA | Primary |
Addresses
Primary practice location
25001 Industrial Blvd
Hayward, CA 94545-2801
Mailing address
688 Banbury St
Hayward, CA 94544-1737
Phone (510) 783-1053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18481 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689717324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "688 BANBURY ST",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945441737",
"telephone_number": "510-783-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25001 INDUSTRIAL BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945452801",
"telephone_number": "510-780-4599",
"fax_number": "510-780-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNEY",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "18481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.