Individual ProviderKevin Patrick KennyChiropractorChiropractic ProvidersPractice Address9766 Highway 92, Suite 100, Woodstock, GA 30188-6455(770) 516-1661(404) 642-9124PECOS EnrollmentBased on the most recent information from CMS, provider Kevin Patrick Kenny does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1285788703Provider TypeIndividualFull NameKenny, Kevin PatrickTitleDr.CredentialDCGenderMaleSole ProprietorYesEnumeration Date1/22/2007Last Updated5/8/2014Contact InformationPractice LocationPractice Address9766 Highway 92, Suite 100, Woodstock, GA 30188-6455Phone(770) 516-1661FaxUnlisted FaxMailing LocationMailing Address44 Darbys Crossing Dr, Suite 210, Hiram, GA 30141-6008Phone(404) 642-9124FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIR007575Georgia