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KENNEDY CHIROPRACTIC PC
NPI 1295020246
Chiropractor in Waldorf, MD

Active since June 16, 2011
4140 CRAIN HWY, WALDORF, MD 20603(301) 645-7770 Get Directions Write a Review

NPPES record last updated: June 16, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kennedy Chiropractic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY CHIROPRACTIC PC (NPI 1295020246) is a healthcare organization registered as a chiropractor in Waldorf, Maryland and active in the NPI registry since June 2011. The organization lists Shawn Patrick Neville, Owner, as its authorized official.

NPPES Registry Identity

NPI1295020246
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKENNEDY CHIROPRACTIC PC
Location Address4140 CRAIN HWYWaldorf, MD 20603-4858
Mailing Address4140 Crain HwyWaldorf, MD 20603-4858 · (301) 645-7770
Phone(301) 645-7770
Organization SubpartNo
Authorized OfficialShawn Patrick NevilleOwner · (301) 645-7770
Enumeration DateJune 16, 2011
✔ NPI 1295020246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MD · S01783
Definition
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.
4140 CRAIN HWY, Waldorf, MD 20603
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Other Identifiers 1

Medicare UPIN451QMD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANNA CAROLE WILLIAMS MASSAGE THERAPIST
Massage Therapist
4140 CRAIN HWY
WALDORF, MD 20603
Charles County (910) 703-9569

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Chiropractic PC's NPI number?

The NPI number for Kennedy Chiropractic PC is 1295020246. It was assigned to this organization in the NPPES registry on June 16, 2011.

Where is Kennedy Chiropractic PC located?

Kennedy Chiropractic PC is located at 4140 Crain Hwy, Waldorf, MD 20603. The listed phone number is (301) 645-7770.

What is Kennedy Chiropractic PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Kennedy Chiropractic PC was last updated on June 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.