DR. TIMOTHY J KENNEDY DC
NPI 1568433720
Chiropractor in Moline, IL

Active since January 27, 2006
1712 15TH STREET PL, MOLINE, IL 61265(309) 797-5700(309) 762-4645 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Timothy J Kennedy Dc NPPES

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

DR. TIMOTHY J KENNEDY DC (NPI 1568433720) is an individual chiropractor in Moline, Illinois, licensed in Illinois (038-003971) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1568433720
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TIMOTHY J KENNEDYCredential: DC
Location Address1712 15TH STREET PLMoline, IL 61265-3961
Mailing Address1712 15th Street PlMoline, IL 61265-3961 · (309) 797-5700
Fax(309) 762-4645
Sole ProprietorNo
Enumeration DateJanuary 27, 2006
Last NPPES UpdateSeptember 19, 2012
NPI 1568433720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038-003971
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.
1712 15TH STREET PL, Moline, IL 61265

Other Identifiers 4

Medicaid038003971IL
Medicare ID-Type Unspecified207268IL · Group
Medicare ID-Type UnspecifiedK01714IL · Provider #
Medicare UPINT37548IL

Other Providers at the Same Location NPPES 2

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

Chiropractor
1712 15TH STREET PL
MOLINE, IL 61265
Chiropractor
1712 15TH STREET PL
MOLINE, IL 61265

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 Timothy Kennedy's NPI number?

The NPI number for Timothy Kennedy is 1568433720. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Timothy Kennedy located?

Timothy Kennedy practices at 1712 15th Street Pl, Moline, IL 61265. The listed phone number is (309) 797-5700.

What is Timothy Kennedy'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 Timothy Kennedy was last updated on September 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.