DR. JARED R KENNEDY (NPI# 1033417746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033417746 |
| Entity Type | Individual |
| Full Name | DR. JARED R KENNEDY |
| Credential | D.C. |
| Practice Address |
2035 W Iles Ave Suite A Springfield IL 62704-4192 |
| Practice Telephone | 2177879100 |
| Practice Fax Number | 2177876616 |
| Mailing Telephone | 2177879100 |
| Mailing Fax Number | 2177876616 |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038.011926 | IL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659768943 | Jared Kennedy | Specialist/Technologist | 3300 Princess Anne Rd, Suite 719, Virginia Beach, VA 23456-2603 | 2015-04-24 |
| 1760745111 | Jared Allen Kennedy | Physical Therapist | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2012-06-20 |
| 1598908071 | Jared Kennedy | Emergency Medicine | 2401 S 31st St, Temple, TX 76508-0001 | 2009-04-13 |
| Street Address |
2035 W ILES AVE SUITE A |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-4192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386695013 | Melissa Lynn Knoedler | Chiropractor | 2035 W Iles Ave, Suite A, Springfield, IL 62704-4192 | 2006-05-15 |
| 1285249805 | Daphne Le | Speech-Language Pathologist | 2035 W Iles Ave, Springfield, IL 62704-4192 | 2020-09-10 |
| 1750942041 | Joy L Ferry | Occupational Therapy Assistant | 2035 W Iles Ave, Springfield, IL 62704-4192 | 2019-06-26 |
| 1124590153 | Leah Catherine Robertson | Behavioral Analyst | 2035 W Iles Ave, Springfield, IL 62704-4192 | 2019-01-02 |
| 1598291635 | Leah Brooks | Social Worker | 2035 W Iles Ave, Suite C, Springfield, IL 62704-4192 | 2017-05-10 |
| 1760833719 | Laura Wilson | Occupational Therapy Assistant | 2035 W Iles Ave, Ste C, Springfield, IL 62704-4192 | 2016-06-30 |
| 1316313299 | Audrey Rawlins | Speech-Language Pathologist | 2035 W Iles Ave, Suite C, Springfield, IL 62704-4192 | 2015-08-14 |
| 1285015701 | Lisa Spenceley Miller | Speech-Language Pathologist | 2035 W Iles Ave, Springfield, IL 62704-4192 | 2015-06-10 |
| 1396156212 | Kristen Reber | Speech-Language Pathologist | 2035 W Iles Ave, Springfield, IL 62704-4192 | 2014-05-13 |
| 1548685969 | Nicholas Bond | Counselor | 2035 W Iles Ave, Springfield, IL 62704-4192 | 2014-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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 interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140616 | Springfield Chiropractic LLC | Chiropractor | 505 N Laurel St, Springfield, GA 31329-6815 | 2020-10-08 |
| 1578179412 | James Crawford | Chiropractor | 2144 E Republic Rd Ste A104, Springfield, MO 65804-4645 | 2020-09-16 |
| 1982218103 | Western Mass Chiropractic PC | Chiropractor | 275 Bicentennial Hwy Ste 211, Springfield, MA 01118-1965 | 2020-09-04 |
| 1730725425 | Chiro One Wellness Center of Springfield, LLC | Chiropractor | 3409 Freedom Dr Ste 150a, Springfield, IL 62704-6517 | 2019-11-18 |
| 1508408493 | Amrit Justin Jhauj | Chiropractor | 355 Us-22 East, Springfield, NJ 07081 | 2019-10-11 |
| 1992355473 | Candace Bahk Kim | Chiropractor | 6225 Brandon Ave Ste 175, Springfield, VA 22150-2519 | 2019-09-16 |
| 1558826545 | Adrian Bryon Hunter | Chiropractor | 6130 Brandon Ave, Springfield, VA 22150-2610 | 2019-02-05 |
| 1720554959 | Revive Health and Injury Center, LLC | Chiropractor | 333 N Limestone St Ste 104, Springfield, OH 45503-4250 | 2018-10-15 |
| 1831693621 | Michael Benjamin Chiapetto | Chiropractor | 1340 S State St, Springfield, IL 62704-3625 | 2018-03-19 |
| 1134637382 | Gnr Chiropractic LLC | Chiropractor | 2700 W Lawrence Ave Ste J3, Springfield, IL 62704-7201 | 2018-01-22 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
Please comment or provide details below to improve the information on DR. JARED R KENNEDY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.