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KENNESAW WEST CHIRO AND REHAB NPI 1982010377


NPI Information

NPI: 1982010377
Provider Name: KENNESAW WEST CHIRO AND REHAB
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1600 KENNESAW DUE WEST RD NW STE 501
KENNESAW, GA
ZIP 30152
Phone: (678) 742-8528
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KENNESAW WEST CHIRO AND REHAB is a chiropractor in Kennesaw, 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. KENNESAW WEST CHIRO AND REHAB NPI is 1982010377. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1600 KENNESAW DUE WEST RD NW STE 501
KENNESAW, GA
ZIP 30152-304
Phone: (678) 742-8528

The provider's authorized official is Erick Burke .
The authorized official title is Co-owner and has the following contact phone number (770) 630-3458.

The enumeration date for this NPI number is 7/7/2014 and was last updated on 7/7/2014.


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
1111N00000XChiropractorCHIR008319GEORGIAYes

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: 11/14/2023

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