Kennedy, Kris K

Kennedy, Kris K is an sole proprietor health care provider with primary practice located at 11 Mareblu 120, Aliso Viejo CA 92656-3066. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Kennedy, Kris K can be contacted via phone (949) 305-1790.

Contact Information

Primary practice address
11 Mareblu 120 Aliso Viejo CA 92656-3066
Phone: (949) 305-1790
Fax: (949) 305-1801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC10783 California
Chiropractic Providers / Chiropractor 111N00000X DC28686 California

Profile Details

NPI number 1700943560
LBN Legal business name Kennedy, Kris K
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Apr 17th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700943560 NPPES
California Other DC0286860 BLUE SHIELD

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