Gerald Anthony Kennedy in Belleville - Chiropractor
Gerald Anthony Kennedy - NPI 1700902988
Gerald Anthony Kennedy is a Chiropractor in Belleville, Illinois. Gerald Anthony Kennedy practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Gerald Anthony Kennedy is 1700902988. The last update date is 2007-07-08.
Gerald Anthony Kennedy's current location address is 1632 Lebanon Ave, Belleville, Illinois. You can contact this provider via phone number 6183101499 and fax number 3145584396. The mailing address for Gerald Anthony Kennedy is 1632 Lebanon Ave, Belleville, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gerald Anthony Kennedy |
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Address | 1632 Lebanon Ave, Belleville, Illinois |
Phone Number | 6183101499 |
Fax Number | 3145584396 |
Sole Proprietor | N |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1700902988 |
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Provider Enumeration Date | 2007-03-21 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1632 Lebanon Ave |
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City | Belleville |
State | Illinois (IL) |
Post Code | 622212466 |
Phone Number | 6183101499 |
Fax Number | 3145584396 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique identifier code issued to Gerald Anthony Kennedy by the Centers for Medicare & Medicaid Services?
The Gerald Anthony Kennedy has been assigned the NPI (National Provider Identifier) 1700902988. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gerald Anthony Kennedy?
The Gerald Anthony Kennedy is situated at 1632 Lebanon Ave, in the city of Belleville, state of IL, with the zip code 622212466.
What is Gerald Anthony Kennedy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gerald Anthony Kennedy is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did the Gerald Anthony Kennedy receive the assignment of its 1700902988 from the Centers for Medicare & Medicaid Services?
The Gerald Anthony Kennedy was issued its 1700902988 by the Centers for Medicare & Medicaid Services on 2007-03-21.
When was the information related to Gerald Anthony Kennedy most recently updated or refreshed?
The details pertaining to the Gerald Anthony Kennedy, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.