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1225476591 NPI number — CARRI LYNN KENNEDY D.C..

NPI Number: 1225476591
Health Care Provider/Practitioner: CARRI LYNN KENNEDY D.C..

Information about “1225476591” NPI (CARRI LYNN KENNEDY D.C..) exists in 1225476591 in HTML format HTML  |  1225476591 in plain Text format TXT  |  1225476591 in PDF (Portable Document Format) PDF  |  1225476591 in an XML format XML  formats.

NPI Number : 1225476591 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225476591",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KENNEDY",
    "FirstName": "CARRI",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.C..",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "109A S CENTER AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MERRILL",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54452-1237",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "715-539-9797",
    "MailingAddressFaxNumber": "715-539-9098",
    "FirstLinePracticeLocationAddress": "109A S CENTER AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MERRILL",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54452-1237",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "715-539-9797",
    "PracticeLocationAddressFaxNumber": "715-539-9098",
    "EnumerationDate": "06/10/2013",
    "LastUpdateDate": "10/30/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "4971-12",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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