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General NPI Number Information
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NPI Number | 1952263022
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Entity Type | Organization
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Legal Business Name | DR KEVIN KINNEY
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 3955 RIVERSIDE AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32205-3312
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Country | US
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Telephone | 904-894-6241
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Fax |
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Provider Business Mailing Address
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Address Line | 12291 SUMTER SQUARE DR W
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City | JACKSONVILLE
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State | FL
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Zip | 32218-6124
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | KEVIN KINNEY
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Credential | DC
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Telephone | 904-894-6241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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