MEDICARE: NOLAN PATRICK KENNEDY DC

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	111086	IA

General Provider Information

NPI Number	:	1730843806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOLAN PATRICK KENNEDY DC

Provider Business Mailing Address
First Line	:	923 BOSTON WAY APT 5
Second Line	:
City	:	CORALVILLE
State	:	IA
Zip	:	52241-3161
Country	:	US
Telephone Number	:	563-543-9170
Fax Number	:

Provider Business Practice Location Address
First Line	:	5945 COUNCIL ST NE STE B
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-5897
Country	:	US
Telephone Number	:	319-409-5941
Fax Number	:

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

Provider Enumeration Date	:	10/26/2021
Last Update Date	:	02/25/2026

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Directions to “ NOLAN PATRICK KENNEDY DC” Practice Location

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