Doctor Name: | DR. KEVIN PATRICK KENNY |
NPI Number: | 1285788703 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | CHIR007575 |
Business Practice Address: | 9766 Highway 92 Suite 100 Woodstock, GA - 301886455 |
Business Phone Number: | 7705161661 |
Business Fax Number: | |
Mailing Address: | 44 Darbys Crossing Dr, Suite 210 HIRAM |
State: | GA |
Postal Code: | 301416008 |
Phone Number: | 4046429124 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 05/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CHIR007575 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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. |