Kennedy Chiropractic Health Center in Rocky Mount - Sports Physician
Kennedy Chiropractic Health Center - NPI 1396896148
Kennedy Chiropractic Health Center is a Sports Physician in Rocky Mount, Virginia. Kennedy Chiropractic Health Center practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Kennedy Chiropractic Health Center is 1396896148. The last update date is 2020-08-22.
Kennedy Chiropractic Health Center's current location address is 45 Marketplace Dr, Rocky Mount, Virginia. You can contact this provider via phone number 5404833678 and fax number 5404833820. The mailing address for Kennedy Chiropractic Health Center is 45 Marketplace Dr, Rocky Mount, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kennedy Chiropractic Health Center |
|---|---|
| Address | 45 Marketplace Dr, Rocky Mount, Virginia |
| Phone Number | 5404833678 |
| Fax Number | 5404833820 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kennedy M Mia |
| Credentials | D.C. |
| Telephone Number | 5404833678 |
NPI Number Detail
| NPI Number | 1396896148 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 45 Marketplace Dr |
|---|---|
| City | Rocky Mount |
| State | Virginia (VA) |
| Post Code | 241516516 |
| Phone Number | 5404833678 |
| Fax Number | 5404833820 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 104555747 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 182483 | VA | ANTHEM DRCOLLINS PROVIDER | |
| 285308 | VA | ANTHEM GROUP NUMBER | |
| 317684 | VA | ANTHEM PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kennedy Chiropractic Health Center?
The Kennedy Chiropractic Health Center has been issued the NPI (National Provider Identifier) 1396896148 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Kennedy Chiropractic Health Center is physically located?
The Kennedy Chiropractic Health Center is situated at the following address: 45 Marketplace Dr, Rocky Mount, VA 241516516.
What is the Kennedy Chiropractic Health Center's area of specialization and corresponding taxonomy classification?
The Kennedy Chiropractic Health Center's specialty field is Sports Physician, and it falls under the taxonomy code 111Ns0005X, which categorizes healthcare providers based on their specialties.
On what date did the Kennedy Chiropractic Health Center receive its 1396896148 assignment from the Centers for Medicare & Medicaid Services?
The Kennedy Chiropractic Health Center was assigned its 1396896148 by the Centers for Medicare & Medicaid Services on 2007-01-16.
When was the Kennedy Chiropractic Health Center's information last updated?
The Kennedy Chiropractic Health Center's information was last updated on 2020-08-22.