MEDICARE: DR. CORY LYN KENYON 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
1	111N00000X	Chiropractor	3879DC	MN
2	111N00000X	Chiropractor	2344	TN

General Provider Information

NPI Number	:	1578541686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CORY LYN KENYON D.C.

Provider Business Mailing Address
First Line	:	PO BOX 131
Second Line	:
City	:	SHELBYVILLE
State	:	TN
Zip	:	37162-0131
Country	:	US
Telephone Number	:	931-842-9995
Fax Number	:

Provider Business Practice Location Address
First Line	:	875 UNION ST
Second Line	:
City	:	SHELBYVILLE
State	:	TN
Zip	:	37160-2603
Country	:	US
Telephone Number	:	931-842-9995
Fax Number	:	931-263-8748

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	01/25/2026

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