MS. CONNIE MARIE KENNEDY (NPI# 1770685976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770685976 |
| Entity Type | Individual |
| Full Name | MS. CONNIE MARIE KENNEDY |
| Credential | DC |
| Practice Address |
7312 Raytown Rd Suite C Raytown MO 64133 |
| Practice Telephone | 8167373201 |
| Mailing Telephone | 8167373201 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4204 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS | 07497027 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841331915 | Connie J Kennedy | Medical Genetics, Ph.D. Medical Genetics | 263 Summer Avenue, Horsham, PA 19044-2607 | 2007-02-09 |
| Street Address |
7312 RAYTOWN RD SUITE C |
| City | RAYTOWN |
| State | MO |
| Zip Code | 64133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376029652 | Lauren Chapman Bauer | Occupational Therapy Assistant | 9540 E 75th Street, Raytown, MO 64133 | 2018-07-19 |
| 1871946160 | Brent Jordan Miller | Nurse Practitioner | 9400 East 350 Highway, Raytown, MO 64133 | 2016-07-21 |
| 1518355957 | Sheeba Fazili | Counselor | 8801 East, 63 Rd Street, Raytown, Suite 101, Missouri, KS 64133 | 2015-01-08 |
| 1770998676 | Diana Garcia | Speech-Language Pathologist | 11812 E. 61st. Street, Kansas City, MO 64133 | 2014-06-30 |
| 1326489642 | Helping Hands Adult Day Center | Clinic/Center | 6610 Blue Ridge Blvd., Kansas City, MO 64133 | 2013-07-15 |
| 1346687936 | Judith Hope Evans | Pharmacist | 300 Blue Parkway, Lees Summit, MO 64133 | 2013-05-23 |
| 1912249855 | Shanna O'brien | Social Worker | 8801 E 63rd St Ste 101, Raytown, MO 64133 | 2013-03-18 |
| 1013266550 | Lauren Sword | Chiropractor | 9537 E 57th Terr, Raytown, MO 64133 | 2012-08-30 |
| 1528339207 | Olivia Luelf | Speech-Language Pathologist | 6608 Raytown Rd., Raytown, MO 64133 | 2012-01-26 |
| 1356639074 | Michelle Paulette Cruickshank | Massage Therapist | 6522 Sterling Ave, Raytown, MO 64133 | 2011-07-15 |
| Find all providers in zip 64133 | ||||
| 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 |
|---|---|---|---|---|
| 1013266550 | Lauren Sword | Chiropractor | 9537 E 57th Terr, Raytown, MO 64133 | 2012-08-30 |
| 1922378082 | Thomas Martin Murray | Chiropractor | 10803 E 350 Hwy Ste B, Raytown, MO 64138-2383 | 2012-01-06 |
| 1003185844 | Uchenna Charles Chira | Chiropractor | 6124 Blue Ridge Blvd, Raytown, MO 64133-4148 | 2011-12-23 |
| 1437475589 | Mary Jo Wiley | Chiropractor | 10001 E 67th St, Raytown, MO 64133-5218 | 2010-04-14 |
| 1265686653 | Jeffrey Lynn Nixon | Chiropractor | 8303 Westridge Rd, Raytown, MO 64138-2615 | 2008-11-11 |
| 1154540813 | William Wayne Lawson | Chiropractor | 6922 Elm Ave, Raytown, MO 64133-5966 | 2007-04-24 |
| 1013050830 | David E Fray | Chiropractor | 10803 E State Route 350, Suite B, Raytown, MO 64138-2313 | 2007-02-14 |
| 1659440071 | Joyce G. Hagar | Chiropractor | 8800 E 62nd St, Raytown, MO 64133-3720 | 2006-11-07 |
| 1326341637 | Mary Jo Wiley Chiropractic LLC | Chiropractor | 10001 E 67th St, Raytown, MO 64133-5218 | 2010-12-08 |
| 1942502828 | Revma Chiropractic Health Center | Chiropractor | 10001 E 67th St, Raytown, MO 64133-5218 | 2010-11-26 |
| Find all providers in RAYTOWN | ||||
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| 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.