KENNEDY CHIROPRACTIC, LLC (NPI# 1144411661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144411661 |
| Entity Type | Organization |
| Organization Name | KENNEDY CHIROPRACTIC, LLC |
| Practice Address |
3405 Penrose Pl Suite 106 Boulder CO 80301-1818 |
| Practice Telephone | 3035466325 |
| Practice Fax Number | 3034494229 |
| Mailing Telephone | 3035466325 |
| Mailing Fax Number | 3034494229 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |
| Authorized Official Name | DOUGLAS ROBERT KENNEDY (MEMBER) |
| Authorized Official Telephone | 3035466325 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 3147 | CO | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | KENNEDY CHIROPRACTIC, LLC | 4578 Tally Ho Trl, Boulder, CO 80301 |
| Street Address |
3405 PENROSE PL SUITE 106 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821051855 | Jiayu Zhang | Acupuncturist | 3405 Penrose Pl, Suite 204, Boulder, CO 80301-1818 | 2006-04-10 |
| 1043753601 | Laine Gallegos Acupuncture | Acupuncturist | 3405 Penrose Pl, Suite 202, Boulder, CO 80301-1818 | 2016-11-29 |
| 1568849685 | Katherine Campbell | Acupuncturist | 3405 Penrose Pl, Suite 103, Boulder, CO 80301-1818 | 2015-04-27 |
| 1093156697 | Katherine Morehan Kelly | Acupuncturist | 3405 Penrose Pl, Suite 202, Boulder, CO 80301-1818 | 2013-07-11 |
| 1518255785 | Jennifer Wyler | Acupuncturist | 3405 Penrose Pl, Suite 202, Boulder, CO 80301-1820 | 2011-07-21 |
| 1942538723 | Inner Balance Acupuncture LLC | Acupuncturist | 3405 Penrose Pl, Suite 103, Boulder, CO 80301-1818 | 2009-12-06 |
| 1801013776 | Kari Fraser | Psychologist | 3405 Penrose Pl, Suite 203, Boulder, CO 80301-1818 | 2007-04-20 |
| 1447477310 | Kari Fraser Ph.d., P.C. | Community/Behavioral Health | 3405 Penrose Pl, Suite 203, Boulder, CO 80301-1818 | 2007-04-20 |
| 1396889762 | Elise R Sachs | Acupuncturist | 3405 Penrose Pl, Suite 103, Boulder, CO 80301-1818 | 2007-02-17 |
| 1902973431 | Valerie A. Lemon | Counselor | 3405 Penrose Pl, Boulder, CO 80301-1818 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233882 | Boulder Community Health | Clinic/Center | 4745 Arapahoe Ave Ste 201, Boulder, CO 80303-1080 | 2020-10-23 |
| 1982162285 | Spot On Drug Testing | Clinic/Center | 2000 21st St Unit B, Boulder, CO 80302-4501 | 2019-03-05 |
| 1205121936 | Find Your Balance Acupuncture | Clinic/Center | 2760 29th St Unit 1c, Boulder, CO 80301 | 2011-06-10 |
| 1285962308 | Pain Free Today, P.C. | Clinic/Center | 3014 Bluff St Ste 201, Boulder, CO 80301-2165 | 2009-12-01 |
| 1609822030 | Boulder Community Health | Clinic/Center | 5450 Western Ave Ste B, Boulder, CO 80301-2709 | 2006-05-26 |
| 1619577681 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2020-10-29 |
| 1306493879 | Boulder Community Health | Clinic/Center | 4801 Riverbend Rd Ste 120b, Boulder, CO 80301-2613 | 2019-08-20 |
| 1093289472 | Meridian Wellness, LLC | Clinic/Center | 842 W Hwy 12, Boulder, UT 84716 | 2019-01-18 |
| 1447603469 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 580 Mohawk Dr, Boulder, CO 80303-3712 | 2016-07-14 |
| 1013389840 | Pearl Podiatry Health Center, LLC | Clinic/Center | 2575 Pearl St, Suite #240, Boulder, CO 80302-3868 | 2015-10-20 |
| Find all providers in BOULDER | ||||
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| 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.