Robert Clair Kenny, DC
Individual provider Active NPI Chiropractor · Indian River, MI
NPI 1710050604 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710050604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1961 (MI)
- Practice address
- 7970 M 68
Indian River, MI 49749-9324 - Phone
- (231) 238-6951
- Fax
- (231) 238-0197
- NPI assigned
- Nov 16, 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1961 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Human Services Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1961 | MI | Yes |
Addresses
Primary practice location
7970 M 68
Indian River, MI 49749-9324
Mailing address
7970 M 68
Indian River, MI 49749-9324
Phone (231) 238-6951
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001951 | Medicaid | MI |
Other providers in Indian River, MI
- Jann la Dere MSW LLC
- Kane RX Inc
- Kerri Anne Katona
- Michael D Katona
- Tammy Sue Kauffman
- Jeffrey Jay Kiel
- Seth William King
- Katherine Klose
- Julie Kolly
- Marcia Margaret Kosovec
All providers in Indian River, MI · Chiropractor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.