Organization Name: | KENNY CLINIC OF CHIROPRACTIC PA |
NPI Number: | 1013086826 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEAN RICHARD KERRY (PRESIDENT CHIROPRACTIC PHYSICIAN) |
Mailing Address: | 2400 S Main Street High Point |
State: | NC US |
Postal Code: | 272631945 |
Phone Number: | 3368893831 |
Fax Number: | 3368897269 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 1054 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |