Kerry J. O'Neill, DC
Individual provider Active NPI Chiropractor · Seattle, WA
NPI 1740344324 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740344324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH2928 (WA)
- Practice address
- 203 14TH Ave E
Seattle, WA 98112-5223 - Phone
- (206) 381-3473
- Fax
- (206) 388-0913
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 1189 | LA | MD | Marriage & Family Therapist |
| LA1189 | LA | MD | Chiropractor |
| CH2928 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Medical Center of Uptown | Chiropractor | Past | Accepting new patients |
| Backfire Inc P S | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH2928 | WA | Yes |
| Chiropractor | 111N00000X | LA1189 | LA |
Addresses
Primary practice location
203 14TH Ave E
Seattle, WA 98112-5223
Mailing address
203 14TH Ave E
Seattle, WA 98112-5223
Phone (206) 381-3473
Other providers in Seattle, WA
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.