Kennedy, Shelly C.
Kennedy, Shelly C. is an individual health care provider with primary practice located at 4155 Clark Rd , Sarasota FL 34233-2403. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Kennedy, Shelly C. can be contacted via phone (941) 929-0020.Contact Information
Primary practice address
4155 Clark Rd
Sarasota FL 34233-2403
Phone: (941) 929-0020
Fax: (941) 921-7843
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | CH0006233 | Florida |
Profile Details
NPI number | 1508852989 |
---|---|
LBN Legal business name | Kennedy, Shelly C. |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 21st, 2005 |
Last updated | Feb 22nd, 2013 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508852989 | NPPES |
Florida | Other | 22563 | BCBS |
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