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NPI Code Detail

MEDICARE: DR. JOSEPH S KENNEDY D.C.

MEDICARE:  DR. JOSEPH S KENNEDY  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NS0005XSports Physician Chiropractor104556184VA
2111NN0400XNeurology Chiropractor104556184VA

General Provider Information

NPI Number : 1164429734
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH S KENNEDY D.C.
Provider Business Mailing Address
First Line : 11148 STERLING COVE DR
Second Line :
City : CHESTERFIELD
State : VA
Zip : 23838-5158
Country : US
Telephone Number : 804-305-5748
Fax Number :
Provider Business Practice Location Address
First Line : 10330 IRON BRIDGE RD
Second Line :
City : CHESTER
State : VA
Zip : 23831-1425
Country : US
Telephone Number : 804-748-5748
Fax Number : 804-523-8013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 03/06/2019

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Directions to “ DR. JOSEPH S KENNEDY D.C.” Practice Location

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