| Kennedy Chiropractic Pc | |
|
4140 Crain Hwy, Waldorf, MD 20603-4858 | |
| (301) 645-7770 | |
| Not Available |
| Full Name | Kennedy Chiropractic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4140 Crain Hwy, Waldorf, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295020246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | S01783 (Maryland) | Primary |
| Provider Name | Shawn P Neville |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295703106 PECOS PAC ID: 2769650779 Enrollment ID: I20110719000060 |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Chiropractic Pc 4140 Crain Hwy, Waldorf, MD 20603-4858 Ph: (301) 645-7770 | Kennedy Chiropractic Pc 4140 Crain Hwy, Waldorf, MD 20603-4858 Ph: (301) 645-7770 |
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