DR. KELLY DAVID KENNEDY DC
NPI 1578572269
Chiropractor in Runnemede, NJ

Q: What is Kelly Kennedy's NPI number?

The NPI number for Kelly Kennedy is 1578572269. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Q: What is Kelly Kennedy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Kennedy was last updated on September 21, 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.

Active since August 05, 2006Accepts Medicare Assignment

6 EAST FIRST AVENUE, RUNNEMEDE, NJ 08078(856) 939-2042(856) 939-1341 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Kelly David Kennedy Dc NPPES

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

DR. KELLY DAVID KENNEDY DC (NPI 1578572269) is an individual chiropractor in Runnemede, New Jersey, licensed in New Jersey (38MC00256200) and active in the NPI registry since August 2006. He is a graduate of Sherman College Of Straight Chiropractic (1983).

NPPES Registry Identity

NPI1578572269

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. KELLY DAVID KENNEDYCredential: DC

Location Address6 EAST FIRST AVENUERunnemede, NJ 08078-1101

Mailing Address6 East First AvenueRunnemede, NJ 08078-1101 · (856) 939-2042 · Fax (856) 939-1341

Phone(856) 939-2042

Fax(856) 939-1341

Sole ProprietorNo

Medical School CMSSherman College Of Straight ChiropracticGraduated 1983

Enumeration DateAugust 5, 2006

Last NPPES UpdateSeptember 21, 2011

✔ NPI 1578572269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NJ · 38MC00256200

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.

6 EAST FIRST AVENUE, Runnemede, NJ 08078

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Other Identifiers 8

Other23278NJ · Americaid

Other0073687000NJ · Amerihealth

OtherP441526NJ · Oxford

Other702524NJ · United Healthcare

Medicare ID-Type UnspecifiedKE041589NJ

OtherCA000004801NJ · Americhoice

Medicaid192260201NJ

Other1084117NJ · Horizon Mercey

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelly David Kennedy Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628242906

PECOS Enrollment IDI20111123000103

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

138 services12 patients

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 Kelly Kennedy's NPI number?

The NPI number for Kelly Kennedy is 1578572269. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Kelly Kennedy located?

Kelly Kennedy practices at 6 East First Avenue, Runnemede, NJ 08078. The listed phone number is (856) 939-2042.

What is Kelly Kennedy's specialty?

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

Is Kelly Kennedy enrolled in Medicare?

Yes. Kelly Kennedy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Kennedy accept?

Health plans from Providence Health Plan list Kelly Kennedy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Kennedy was last updated on September 21, 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.