Kenya M Gaskin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0988 Issued in MS

Practice address

3425 Pemberton Square Blvd
Suite a
Vicksburg, MS 39180-5574

Phone

(601) 619-7122

Fax

(601) 619-7122

NPI assigned

Mar 23, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gaskin Family Chiropractic, P.C.

  • Chiropractor
  • Vicksburg, MS
  • NPI 1891906582
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1174583389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 PEMBERTON SQUARE BLVD",
            "address_2": "SUITE A",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805574",
            "telephone_number": "601-619-7122",
            "fax_number": "601-619-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 PEMBERTON SQUARE BLVD",
            "address_2": "SUITE A",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805574",
            "telephone_number": "601-619-7122",
            "fax_number": "601-619-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKIN",
        "first_name": "KENYA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "0988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Gaines
• Breanna Supree Alezandri Gamble
• Hailey Garner
• Garrett Rouse Garrett Rouse
• Gaskin Family Chiropractic, P.C.
• Gastrointestinal Associates Endoscopy Center, LLC
• Gastrointestinal Associates, P.a.
• Gateway Behavioral Health Services
• Gateway Wellness Clinic
• Madeleine Gaul

• Chiropractor in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.