Kennedy Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1536 Issued in OR

Legal business name

KENNEDY CHIROPRACTIC PC

Practice address

155 B Ave
Suite 120
Lake Oswego, OR 97034-3148

Phone

(503) 635-4558

NPI assigned

Apr 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael D Kennedy, PC

Title

Owner

Phone

(503) 635-4558

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982725719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 B AVE",
            "address_2": "SUITE 120",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343148",
            "telephone_number": "503-635-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 B AVE",
            "address_2": "SUITE 120",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343148",
            "telephone_number": "503-635-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-635-4558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1285734335",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Kelly, RDH
• Laurie Lee Kelly, RDH
• Melinda Kelly, LMT
• Neal N Kelly, RPH
• Kendra J. Summers, PHD
• Kenneth P Melvin, MD, PC
• Stephen Kessler
• Samuel Kibani
• Megan B Kieres, LMT
• Peter Jonathan Kiessling, M.D.

• Chiropractor in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.