TIMOTHY MICHAEL KENNEDY (NPI# 1750787586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750787586 |
| Entity Type | Individual |
| Full Name | TIMOTHY MICHAEL KENNEDY |
| Credential | DC |
| Practice Address |
1680 Sw Saint Lucie West Blvd Ste 204 Port St Lucie FL 34986 |
| Mailing Address |
318 Se Fisk Rd Port St Lucie FL 34984-8920 |
| Practice Telephone | 7722121111 |
| Practice Fax Number | 7722120201 |
| Mailing Telephone | 8608835850 |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2019-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH11346 | FL | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1050 Se Monterey Rd Ste 202, Stuart, FL 349944512 | 7722121111 | 7722120201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962856732 | Timothy Kennedy | Internal Medicine | 6701 Airprot Blvd, Ste A101, Mobile, AL 36608-0000 | 2016-04-19 |
| 1568433720 | Timothy J Kennedy | Chiropractor | 1712 15th Street Pl, Moline, IL 61265-3961 | 2006-01-27 |
| 1043587751 | Timothy Kennedy | Specialist/Technologist | 4225 Genesee St, Cheektowaga, NY 14225-1994 | 2011-11-23 |
| 1346406238 | Timothy Martin Kennedy | Occupational Therapist | 25 Chateau Ter, Amherst, NY 14226-3927 | 2008-07-31 |
| 1235394255 | Timothy John Kennedy | Surgery | 195 Little Albany St, Suite 560, New Brunswick, NJ 08901-1914 | 2008-07-21 |
| 1790830610 | Timothy Alan Kennedy | Social Worker | 6827 N High St, 121, Worthington, OH 43085-2517 | 2007-01-23 |
| 1891885869 | Timothy B Kennedy | Psychiatry & Neurology | 3188 Atlanta Road, Smyrna, GA 30080 | 2006-10-13 |
| 1417985631 | Timothy J Kennedy | Urology | 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 | 2006-06-28 |
| 1356398283 | Timothy C Kennedy | Internal Medicine | 1601 E 19th Ave, 6250, Denver, CO 80218-1216 | 2006-05-27 |
| 1720033319 | Timothy Robert Kennedy | Obstetrics & Gynecology | 1780 Nw Myhre Rd, Suite 2120, Silverdale, WA 98383-8676 | 2006-05-23 |
| Street Address |
1680 SW SAINT LUCIE WEST BLVD STE 204 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073962114 | Live Young Pllc | Clinic/Center | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986-1927 | 2016-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992933 | Lindsay B Rojas | Occupational Therapist | 827 Sw Grand Reserves Blvd, Port St Lucie, FL 34986 | 2018-05-15 |
| 1639685266 | Natoya A Queenbourrows | Family Medicine | 2145 Nw Padova St, Port St Lucie, FL 34986 | 2017-12-19 |
| 1740634930 | The Toledo Clinic, LLC | Clinic/Center | 5481 Nw East Torino Parkway, Port St. Lucie, FL 34986 | 2016-04-14 |
| 1326407230 | Merline Smellie | Social Worker | 525 Nw Lake Whitney Place, Ste 102 & 103, Port St Lucie, FL 34986 | 2016-02-19 |
| 1124486949 | Therapy Connection of The Treasure Coast | Speech-Language Pathologist | 549 Nw Lake Whitney Pl Ste 104, Port St Lucie, FL 34986 | 2016-02-08 |
| 1689050015 | Yudelquis Comas Sanchez | Internal Medicine | Lawnwood Regional Medical Center, 1700 S 23rd St, Fort Pierce, FL 34986 | 2015-08-07 |
| 1689056889 | Joshua Chupp | Dentist | 1384 Sw St. Lucie West Blvd, Port St. Lucie, FL 34986 | 2015-06-24 |
| 1366821720 | Kids Therapy Solutions | Occupational Therapist | 161 Sw Palm Dr # 201, Port St Lucie, FL 34986 | 2015-05-19 |
| 1134514086 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1384 Sw St. Lucie, Port St. Lucie, FL 34986 | 2015-03-30 |
| 1205249802 | Kacia Mcculloch | Social Worker | 525 Nw Lake Whitney Place Suites #102 & #103, Sequel Care of Florida, Port St Lucie, FL 34986 | 2014-06-11 |
| Find all providers in zip 34986 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801318076 | Victoria Kustarz | Chiropractor | 456 Se Jupiter Ter, Port St Lucie, FL 34983-3212 | 2017-07-10 |
| 1235599689 | Madigan Family LLC | Chiropractor | 4098 Sw Balleto St, Port St Lucie, FL 34953-5382 | 2016-02-27 |
| 1942673223 | Tradition Family Chiropractic | Chiropractor | 10552 Sw Village Pkwy, Port St Lucie, FL 34987-2359 | 2015-11-09 |
| 1740660026 | Aaron Gajeske | Chiropractor | 7430 S Us Highway 1 Ste 7448, Port St Lucie, FL 34952 | 2015-06-02 |
| 1386034676 | Cox Chiropractic | Chiropractor | 625 Sw Jacoby Ave, Port St Lucie, FL 34953-3954 | 2015-01-26 |
| 1447673876 | Trena Marie Adams | Chiropractor | 111 Sw Chapman Ave, Port St Lucie, FL 34984-4310 | 2014-01-21 |
| 1346507837 | Central Palm Beach Physicians & Urgent Care Inc | Chiropractor | 1903 Port St. Lucie Blvd, Port St Lucie, FL 34952 | 2012-04-20 |
| 1548540651 | Amber Wehrle | Chiropractor | 10081 Sw Dolce Rd, Port St Lucie, FL 34986 | 2011-08-19 |
| 1326367269 | Victoria J Vislocky | Chiropractor | 149 Sw Port St Lucie Blvd, Port St Lucie, FL 34984-5017 | 2010-05-18 |
| 1588982367 | Health Port Chiropractic Inc | Chiropractor | 1502 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5449 | 2010-05-04 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34986 |
Please comment or provide details below to improve the information on TIMOTHY MICHAEL KENNEDY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.