DR. TIMOTHY J KENNEDY (NPI# 1568433720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568433720 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY J KENNEDY |
| Credential | DC |
| Practice Address |
1712 15th Street Pl Moline IL 61265-3961 |
| Practice Telephone | 3097975700 |
| Practice Fax Number | 3097624645 |
| Mailing Telephone | 3097975700 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2012-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038-003971 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 038003971 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962856732 | Timothy Kennedy | Internal Medicine | 6701 Airprot Blvd, Ste A101, Mobile, AL 36608-0000 | 2016-04-19 |
| 1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
| 1043587751 | Timothy Kennedy | Specialist/Technologist | 4225 Genesee St, Cheektowaga, NY 14225-1994 | 2011-11-23 |
| 1346406238 | Timothy Martin Kennedy | Occupational Therapist | 25 Chateau Ter, Amherst, NY 14226-3927 | 2008-07-31 |
| 1235394255 | Timothy John Kennedy | Surgery | 195 Little Albany St, Suite 560, New Brunswick, NJ 08901-1914 | 2008-07-21 |
| 1790830610 | Timothy Alan Kennedy | Social Worker | 6827 N High St, 121, Worthington, OH 43085-2517 | 2007-01-23 |
| 1891885869 | Timothy B Kennedy | Psychiatry & Neurology | 3188 Atlanta Road, Smyrna, GA 30080 | 2006-10-13 |
| 1417985631 | Timothy J Kennedy | Urology | 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 | 2006-06-28 |
| 1356398283 | Timothy C Kennedy | Internal Medicine | 1601 E 19th Ave, 6250, Denver, CO 80218-1216 | 2006-05-27 |
| 1720033319 | Timothy Robert Kennedy | Obstetrics & Gynecology | 1780 Nw Myhre Rd, Suite 2120, Silverdale, WA 98383-8676 | 2006-05-23 |
| Street Address |
1712 15TH STREET PL |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-3961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841488467 | Kennedy Chiropractic Center PC | Chiropractor | 1712 15th Street Pl, Moline, IL 61265-3961 | 2007-10-09 |
| 1285711085 | Michael Donald Richards | Chiropractor | 1712 15th Street Pl, Moline, IL 61265-3961 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| 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 |
|---|---|---|---|---|
| 1649737479 | Morgen Scroggins | Chiropractor | 1535 47th Ave Ste 5, Moline, IL 61265-7088 | 2019-02-28 |
| 1972067361 | Great River Family Wellness | Chiropractor | 1909 52nd Avenue, Moline, IL 61265-6126 | 2019-01-30 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1427582170 | Shawn Kurtis Duncan | Chiropractor | 1611 5th Ave, Moline, IL 61265-7905 | 2017-04-19 |
| 1689051823 | Authentic Health Center LLC | Chiropractor | 4703 16th St Ste J, Moline, IL 61265-7066 | 2015-04-27 |
| 1184981599 | James M Scranton | Chiropractor | 3471 Avenue of The Cities, Moline, IL 61265-4418 | 2012-04-23 |
| 1235402637 | Rock River Wellness, LLC | Chiropractor | 2201 52nd Ave, Moline, IL 61265-6371 | 2012-02-15 |
| 1386920510 | Carla Ann Sullivan | Chiropractor | 1535 47th Ave, Suite 5, Moline, IL 61265-7088 | 2011-11-02 |
| 1447559935 | Wayne Davis Chiropractic Inc | Chiropractor | 1715 5th Ave A, Moline, IL 61265 | 2011-03-23 |
| 1083912190 | Hurst Chiropractic | Chiropractor | 4820 22nd Ave, Moline, IL 61265-3675 | 2011-03-14 |
| Find all providers in MOLINE | ||||
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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.