Keith A Stevens, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR007707 Issued in GA

Practice address

543 Roberts CT NW
Suite B
Kennesaw, GA 30144-4830

Phone

(770) 429-1515

Fax

(770) 429-8185

NPI assigned

Oct 27, 2006

Sex

Male

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

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518043074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 TAYLOR ST",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015048",
            "telephone_number": "678-595-3475",
            "fax_number": "770-429-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 ROBERTS CT NW",
            "address_2": "SUITE B",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444830",
            "telephone_number": "770-429-1515",
            "fax_number": "770-429-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "KEITH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alina M Stelzer, L.P.C.
• Melissa Pruitt Stephens
• Stepping Stone Pediatrics, LLC
• Deborah Ruth Stern Compton, RN
• Christopher Lee Stevens, MD
• Mark G Stevens, PT
• Deanna Stewart, MD
• Tamu T Stewart, CNA
• Ingrid Stier, NP
• Stilesboro Personal Care Home LLC

• Chiropractor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.