| Kennedy Chiropractic, Llc | |
|
3405 Penrose Pl Suite 106 Boulder CO 80301-1818 | |
| (303) 546-6325 | |
| (303) 449-4229 |
| Full Name | Kennedy Chiropractic, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 3405 Penrose Pl, Boulder, Colorado |
| Authorized Official Name and Position | Douglas Robert Kennedy (MEMBER) |
| Authorized Official Contact | 3035466325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Chiropractic, Llc 3405 Penrose Pl Suite 106 Boulder CO 80301-1818 Ph: (303) 546-6325 | Kennedy Chiropractic, Llc 3405 Penrose Pl Suite 106 Boulder CO 80301-1818 Ph: (303) 546-6325 |
| NPI Number | 1144411661 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 08/08/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144411661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3147 (Colorado) | Primary |
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