Healthcare Provider Details

I. General information

NPI: 1992629208
Provider Name (Legal Business Name): JEANETTE ELIZABETH KENWORTHY DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3785 VIA NONA MARIE STE 314B
CARMEL CA
93923-8637
US

IV. Provider business mailing address

273 W CARMEL VALLEY RD UNIT A
CARMEL VALLEY CA
93924-9574
US

V. Phone/Fax

Practice location:
  • Phone: 831-250-1721
  • Fax:
Mailing address:
  • Phone: 831-917-7081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number37716
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: