National Provider Identifier Database

BRADLEY J KENNEDY, DC – NPI #1497890420
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.


Contact Information

BRADLEY J KENNEDY, DC
393 CROSSGATES BOULEVARD
SUITE B
BRANDON, MS39042
Phone: 601-824-4217
Fax: 601-824-4218
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BRADLEY J KENNEDY

NPI Number 1497890420
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 02/20/2007
Last updated 02/09/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • MS License #: 947
  • MS Other: 742966779 TAX ID#
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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