KENNSTAR LLC NPI 1699984088

NPI Information

KENNSTAR LLC is a chiropractor in Marietta, GA. The provider is 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. KENNSTAR LLC NPI is 1699984088. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kennstone Chiropractic Wellness Center.

The provider's business location address is:

630 CHURCH ST NE
MARIETTA, GA
ZIP 30060-172
Phone: (770) 428-4416
Fax: (770) 428-2693

The provider's authorized official is Abner F Salas .
The authorized official title is Manager and has the following contact phone number (770) 428-4416.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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