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John Kennedy DC, PC

Details

Name: John Kennedy DC, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 16 Oct 2002 (22 years ago)
Date of dissolution: 23 Jan 2014
Entity Number: 000-225-576
Register Number: 000225576
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 1951 HOOVER CTBIRMINGHAM, AL 35226-3606
Authorized Capital: $5,000

Activities CHIROPRACTIC CARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619090842 2007-04-10 2013-06-20 1951 HOOVER CT, SUITE 101, HOOVER, AL, 352263606, US 1951 HOOVER CT, SUITE 101, HOOVER, AL, 352263606, US

Contacts

Phone +1 205-979-5692
Fax 2059793697

Authorized person

Name DR. JOHN KENNEDY
Role DOCTOR OF CHIROPRACTIC
Phone 2059795692

Taxonomy

Taxonomy Code 111NS0005X - Sports Physician Chiropractor
License Number 1795
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BCBS AL
Number 51511287
State AL

Incorporator

Name Role
KENNEDY, JOHN BERTUS Incorporator

Agent

Name Role
KENNEDY, JOHN BERTUS Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State