Kedong He, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CHIR005054 Issued in GA

Practice address

4897 Buford Hwy
Suite 166
Atlanta, GA 30341-3667

Phone

(770) 457-0641

Fax

(770) 457-0642

NPI assigned

Nov 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1912187188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4897 BUFORD HWY",
            "address_2": "SUITE 166",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303413667",
            "telephone_number": "770-457-0641",
            "fax_number": "770-457-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4897 BUFORD HWY",
            "address_2": "SUITE 166",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303413667",
            "telephone_number": "770-457-0641",
            "fax_number": "770-457-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HE",
        "first_name": "KEDONG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "GA",
            "license": "CHIR005054",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR005054",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "GA",
            "license": "CHIR005054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Petesch Hazzard, PH.D.
• Hbisc
• HC Podiatry , LLC
• HCC - Healthcare of Buckhead, LLC (Buckhead Health & Rehabilitation)
• Christopher Li He
• Steven C He, M.D.
• Xiaowen He
• Hea Therapy
• Head-to-Toe Medical Supplies, LLC
• Allison Morgan Head, PA-C

• Rehabilitation Chiropractor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Rehabilitation Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.