Kennedy, Gerald Anthony

Kennedy, Gerald Anthony is an individual health care provider with primary practice located at 1632 Lebanon Ave , Belleville IL 62221-2466. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kennedy, Gerald Anthony can be contacted via phone (618) 310-1499.

Contact Information

Primary practice address
1632 Lebanon Ave Belleville IL 62221-2466
Fax: (314) 558-4396
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1700902988
LBN Legal business name Kennedy, Gerald Anthony
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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