Thomas Kennedy, DC | |
2307 Nw South Outer Rd Ste 101, Blue Springs, MO 64015-1712 | |
(816) 745-4532 | |
Not Available |
Full Name | Thomas Kennedy |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 2307 Nw South Outer Rd Ste 101, Blue Springs, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104522762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2023001821 (Missouri) | Primary |
Provider Name | Align Chiropractic Clinic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366865263 PECOS PAC ID: 5395978704 Enrollment ID: O20140508001288 |
Mailing Address | Practice Location Address |
---|---|
Thomas Kennedy, DC 4076 Sw Normandy Dr, Lees Summit, MO 64082-4724 Ph: (630) 742-7679 | Thomas Kennedy, DC 2307 Nw South Outer Rd Ste 101, Blue Springs, MO 64015-1712 Ph: (816) 745-4532 |
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