DR. PETER JAMES KENNEDY (NPI# 1760474290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760474290 |
| Entity Type | Individual |
| Full Name | DR. PETER JAMES KENNEDY |
| Credential | DC |
| Practice Address |
325 E 1st St Monticello IA 52310 |
| Practice Telephone | 3194653547 |
| Practice Fax Number | 3194653547 |
| Mailing Telephone | 3194653547 |
| Mailing Fax Number | 3194656439 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2007-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4728 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0455550 | 05 | |
| IA | WELLMARK BLUE CROSS | 17603 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973396 | Peter John Kennedy | Nurse Practitioner | 3 Stafford Rd, Lynnfield, MA 01940-1461 | 2020-08-22 |
| 1821221250 | Peter Kennedy Jr. | Counselor | 9500 Haven Ave, Rancho Cucamonga, CA 91730 | 2009-09-02 |
| 1619025665 | Peter L. Kennedy | Emergency Medicine | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2007-01-08 |
| 1104882810 | Peter Samuel Kennedy | Internal Medicine | 201 S Alvarado St, Suite 110, Los Angeles, CA 90057-2320 | 2006-04-21 |
| 1750364410 | Peter Louis Kennedy | Internal Medicine | 8383 N Davis Hwy, Pensacola, FL 32514-6039 | 2005-11-26 |
| Street Address |
325 E 1ST ST |
| City | MONTICELLO |
| State | IA |
| Zip Code | 52310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205058476 | Elizabeth Hannah Johnson | Counselor | 818 West First Street, Monticello, IA 52310 | 2007-05-03 |
| 1013044643 | Community Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 13241 County Home Road, E23, Scotch Grove, IA 52310 | 2007-02-28 |
| 1063559524 | Edinburgh Manor of Community Care, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13241 County Home Road E23, Scotch Grove, IA 52310 | 2007-01-31 |
| 1295888014 | Prescription Shoppe Inc | Pharmacy | 304 E 1st St, Monticello, IA 52310 | 2007-01-18 |
| 1083746978 | Community Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 13241 County Home Road, E23, Scotch Grove, IA 52310 | 2007-03-09 |
| 1518014034 | Kevin J Stingley | Dentist | 139 S Main, Suite A, Monticello, IA 52310-0167 | 2007-01-05 |
| 1760539480 | Monticello Community School District | Local Education Agency (LEA) | 711 N Maple St, Monticello, IA 52310-1038 | 2007-01-04 |
| 1013266188 | Back Home Chiropractic, LLC | Chiropractor | 818 W 1st St Ste 101, Monticello, IA 52310-1307 | 2012-09-05 |
| 1649279100 | Above & Beyond Home Health Care Inc | Hospice Care, Community Based | 818 W 1st St, Suite 301, Monticello, IA 52310-1307 | 2005-07-18 |
| 1528312311 | Tera Lynn Martin | Social Worker | 818 W 1st St, Ste 201, Monticello, IA 52310-1307 | 2012-11-01 |
| Find all providers in zip 52310 | ||||
| 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 |
|---|---|---|---|---|
| 1750857116 | Tyler Collins | Chiropractor | 106 N Hyatt St, Monticello, AR 71655-4022 | 2018-10-23 |
| 1013373703 | Craig Chiropractic and Kinesiology PC | Chiropractor | 611 Walnut St Ste 2, Monticello, MN 55362-4575 | 2016-01-11 |
| 1750795928 | Paws Up Animal Chiropractic LLC | Chiropractor | 9308 Oriole Ln, Monticello, MN 55362-2860 | 2014-06-16 |
| 1093136434 | Eubanks Chiropractic LLC | Chiropractor | 604 W Bolling St, A, Monticello, AR 71655-5410 | 2014-01-03 |
| 1255752507 | Atlas Advantage Chiropractic L.L.C. | Chiropractor | 9766 Fallon Ave Ne, Suite 104, Monticello, MN 55362-4588 | 2014-01-03 |
| 1164859203 | Dustin Clint Eubanks | Chiropractor | 604 A West Bolling Street, Monticello, AR 71655 | 2013-10-03 |
| 1013266188 | Back Home Chiropractic, LLC | Chiropractor | 818 W 1st St Ste 101, Monticello, IA 52310-1307 | 2012-09-05 |
| 1154618676 | Bennett Barker | Chiropractor | 530 Walnut St, Monticello, MN 55362-8663 | 2011-07-05 |
| 1265768220 | Back 2 Health Chiropractic, P.a. | Chiropractor | 1125 South Cedar St, Suite 109, Monticello, MN 55362 | 2009-10-27 |
| 1053510214 | Shaun Paul Craig | Chiropractor | 506 Cedar St, Monticello, MN 55362-8403 | 2007-07-17 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 52310 |
Please comment or provide details below to improve the information on DR. PETER JAMES 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.