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KJ HEADLEE CHIROPRACTIC LLC NPI 1871954032


NPI Information

NPI: 1871954032
Provider Name: KJ HEADLEE CHIROPRACTIC LLC

Doing Business As: REVOLUTION CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
20 WHITLOCK PL SW
SUITE 100
MARIETTA, GA
ZIP 30064
Phone: (678) 956-1598
Get Directions

KJ HEADLEE CHIROPRACTIC 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. KJ HEADLEE CHIROPRACTIC LLC NPI is 1871954032. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Revolution Chiropractic.

The provider's business location address is:

20 WHITLOCK PL SW
SUITE 100
MARIETTA, GA
ZIP 30064-175
Phone: (678) 956-1598

The provider's authorized official is Kristopher James Headlee .
The authorized official title is Partner/co-owner and has the following contact phone number (678) 956-1598.

The enumeration date for this NPI number is 3/16/2016 and was last updated on 3/16/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCHIR009542GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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