Individual provider · Type 1 NPI
Kenneth Joseph Basille, DC
Chiropractor · Atlanta, GA
NPI number
1669505780
Active
Practice location
2810 Spring Rd SE, Suite 116
Atlanta, GA 30339-3000
Fax (678) 217-7701
Mailing address
PO Box 941188
Atlanta, GA 31141-0188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR006985 (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 1669505780
Kenneth Joseph Basille, DC's National Provider Identifier is 1669505780, issued on Mar 14, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.