Bradley J Kennedy in Brandon - Chiropractor
Bradley J Kennedy - NPI 1497890420
Bradley J Kennedy is a Chiropractor in Brandon, Mississippi. Bradley J Kennedy practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bradley J Kennedy is 1497890420. The last update date is 2012-02-09.
Bradley J Kennedy's current location address is 393 Crossgates Boulevard, Brandon, Mississippi. You can contact this provider via phone number 6018244217 and fax number 6018244218. The mailing address for Bradley J Kennedy is 393 Crossgates Boulevard, Brandon, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley J Kennedy |
|---|---|
| Address | 393 Crossgates Boulevard, Brandon, Mississippi |
| Phone Number | 6018244217 |
| Fax Number | 6018244218 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1497890420 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2012-02-09 |
Provider Mailing Address Detail
| Address | 393 Crossgates Boulevard |
|---|---|
| City | Brandon |
| State | Mississippi (MS) |
| Post Code | 39042 |
| Phone Number | 6018244217 |
| Fax Number | 6018244218 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 947 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 742966779 | MS | TAX ID# |
Post Comment/ Review Below
What is the unique identifier code issued to Bradley J Kennedy by the Centers for Medicare & Medicaid Services (CMS)?
The Bradley J Kennedy has been assigned the NPI (National Provider Identifier) 1497890420. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Bradley J Kennedy is physically located?
The Bradley J Kennedy is situated at the following address: 393 Crossgates Boulevard, Brandon, MS 39042.
What is Bradley J Kennedy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bradley J Kennedy's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
When was the Bradley J Kennedy's 1497890420 issued?
The Bradley J Kennedy's 1497890420 was issued on 2007-02-20.
When was the Bradley J Kennedy's information last updated?
The Bradley J Kennedy's information was last updated on 2012-02-09.