Kennstar LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO02616 Issued in GA

Legal business name

KENNSTAR LLC

Practice address

630 Church St NE
Marietta, GA 30060-1172

Phone

(770) 428-4416

Fax

(770) 428-2693

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Abner F Salas

Title

Manager

Phone

(770) 428-4416

Specialties & licenses 1

Addresses

Other names 1

• Kennstone Chiropractic Wellness Center Doing business as

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699984088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 CHURCH ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601172",
            "telephone_number": "770-428-4416",
            "fax_number": "770-428-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 CHURCH ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601172",
            "telephone_number": "770-428-4416",
            "fax_number": "770-428-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNSTAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "ABNER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-428-4416"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO02616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennstone Chiropractic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kennestone North Dental Associates
• Kennestone Periodontics of Marietta, PC
• Kenneth C Molkner MD PC
• Kenneth O Logan, D.C.,P.C.
• Patricia Anne Kennington, PH.D.
• Kent D Vanderslice DC PC
• Patricia Kerigan, LPC
• Susan Elizabeth Kerley, MS, LAPC
• Kerry Kerns, LMSW
• Joanna Heden Kerr, CPNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.