William Kennebeck, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104558087 Issued in VA

Practice address

2522 Colonial Ave SW
Roanoke, VA 24015-3121

Phone

(540) 929-1617

NPI assigned

May 6, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Balance Wellspace Integrative Medicine IncGroup PAC ID 9638410624, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Balance Wellspace Integrative Medicine, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Roanoke, VA
  • NPI 1164966446
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1902695729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6521 ROLLING BROOK RD APT 305-10",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240191447",
            "telephone_number": "402-838-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 COLONIAL AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240153121",
            "telephone_number": "540-929-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEBECK",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104558087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lawand Kelso, COTA
• Nicole D. Kemp, APRN
• Tyler Bryce Kemp, PA-C
• Jaclyn Christine Kempf
• Brittany Ann Kendrick, FNP-C
• Wilton Craig Kennedy, PA-C
• Patrick William Kenney, NP
• Taryn Nicole Kenney, PA
• Eileen C Kenny, MD
• Elizabeth Claire Kent, CCC-SLP

• Chiropractor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.