NPI 1295020246

Kennedy Chiropractic PC

Organisation Chiropractor Waldorf, MD

Practice location

Address: 4140 Crain Hwy, Waldorf, MD 20603-4858
Phone: (301) 645-7770

Authorised official

Name: Shawn Patrick Neville
Title: Owner
Phone: (301) 645-7770

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence S01783 (MD)

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Registry record

NPI: 1295020246
Entity type: Organization
NPI issued: 16 Jun 2011
Record last updated: 16 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.