Provider Demographics
NPI:1023052966
Name:KEDDY, DONELL JEAN (DC)
Entity type:Individual
Prefix:
First Name:DONELL
Middle Name:JEAN
Last Name:KEDDY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:DONELL
Other - Middle Name:JEAN
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:850 STATE ST
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:NY
Mailing Address - Zip Code:13619-1429
Mailing Address - Country:US
Mailing Address - Phone:315-493-2225
Mailing Address - Fax:153-493-2224
Practice Address - Street 1:850 STATE ST
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NY
Practice Address - Zip Code:13619-1429
Practice Address - Country:US
Practice Address - Phone:315-493-2225
Practice Address - Fax:315-493-2224
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011217-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor