Individual provider · Type 1 NPI
Douglas Robert Kennedy, DC
Chiropractor · Boulder, CO
NPI number
1467559872
Active
Practice location
4578 Tally Ho Trl
Boulder, CO 80301-3862
Fax (303) 845-6359
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3147 (CO) |
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.
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About NPI 1467559872
Douglas Robert Kennedy, DC's National Provider Identifier is 1467559872, issued on Sep 20, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Boulder, CO. The record was last updated on Oct 2, 2023.