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KENNEDY AVENUE CHIROPRACTIC
NPI 1538635214
Chiropractor in Highland, IN

Active since October 19, 2018
8145 KENNEDY AVE, HIGHLAND, IN 46322(219) 803-6630(219) 937-7237 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 1, 2022, Oct 19, 2018 (2 updates tracked since 2018).

About Kennedy Avenue Chiropractic NPPES

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

KENNEDY AVENUE CHIROPRACTIC (NPI 1538635214), doing business as Kennedy Ave Wellness, is a healthcare organization registered as a chiropractor in Highland, Indiana and active in the NPI registry since October 2018. The organization lists Ahmad R Sprouse, Owner/ President, as its authorized official.

NPPES Registry Identity

NPI1538635214
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKENNEDY AVENUE CHIROPRACTIC
Location Address8145 KENNEDY AVEHighland, IN 46322-1128
Mailing Address8145 Kennedy AveHighland, IN 46322-1128 · (219) 803-6630 · Fax (219) 937-7237
Phone(219) 803-6630
Fax(219) 937-7237
Organization SubpartNo
Authorized OfficialAhmad R SprouseOwner/ President · (219) 629-2312
Enumeration DateOctober 19, 2018
Last NPPES UpdateMarch 1, 20222 updates tracked since enumeration
NPPES CertifiedMarch 1, 2022
✔ NPI 1538635214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
8145 KENNEDY AVE, Highland, IN 46322
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Other Names 1

Former Legal Business NameKennedy Ave Wellness

Other Identifiers 1

Medicaid300013370IN

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 3

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

DR. AHMAD SPROUSE DC
Chiropractor
8145 KENNEDY AVE
HIGHLAND, IN 46322
Lake County (219) 803-6630
INTEGRATED BODY AND MEDICINE, PC
General Practice
8145 KENNEDY AVE
HIGHLAND, IN 46322
Lake County (219) 803-6630
ANDREA ZEPEDA MSN FNP-BC
Nurse Practitioner
8145 KENNEDY AVE
HIGHLAND, IN 46322
Lake County (219) 803-6651

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 Avenue Chiropractic's NPI number?

The NPI number for Kennedy Avenue Chiropractic is 1538635214. It was assigned to this organization in the NPPES registry on October 19, 2018. The provider was formerly known as Kennedy Ave Wellness.

Where is Kennedy Avenue Chiropractic located?

Kennedy Avenue Chiropractic is located at 8145 Kennedy Ave, Highland, IN 46322. The listed phone number is (219) 803-6630.

What is Kennedy Avenue Chiropractic'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 Avenue Chiropractic was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.