Individual provider · Type 1 NPI

Justin Kyle Willis, DC

Chiropractor · Kennesaw, GA

NPI number 1639501588 Active

Practice location

2829 Dallas St NW
Kennesaw, GA 30144-2705

Call (770) 429-0707 Map

Fax (770) 425-9020

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X9165 (GA)

Chiropractor: 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.

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About NPI 1639501588

Justin Kyle Willis, DC's National Provider Identifier is 1639501588, issued on Aug 2, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Kennesaw, GA. The record was last updated on Aug 2, 2013.