Scott  A  Kennedy    DC
Contract Details
ChiroPlus of Alabama
Facility name
Provider ID
P000000889
NPI
1255318614
Tax ID
630993590
Effective Date
5/14/1998
Last Updated
9/22/2014
Direct Contract
Yes
Term Date
9/22/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2811 Lurleen B. Wallace Boulevard Suite 12
Northport, AL 35476
United States
County
Tuscaloosa
Phone
2053393333 (Phone)
Billing Details
Address
2811 Lurleen B. Wallace Boulevard
Suite 12
Northport, AL 35476
Billing Phone
2053393333
Specialty Type
Chiropractic Medicine
Map
Address