Kennesaw West Chiro and Rehab

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008319 Issued in GA

Legal business name

KENNESAW WEST CHIRO AND REHAB

Practice address

1600 Kennesaw Due West Rd NW Ste 501
Kennesaw, GA 30152-4304

Phone

(678) 742-8528

NPI assigned

Jul 7, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Erick Burke

Title

Co-Owner

Phone

(770) 630-3458

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1982010377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 KENNESAW DUE WEST RD NW STE 501",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 KENNESAW DUE WEST RD NW STE 501",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524304",
            "telephone_number": "678-742-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNESAW WEST CHIRO AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "ERICK",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "770-630-3458",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennesaw RX LLC
• Kennesaw State University
• Kennesaw State University Health Clinic
• Kennesaw Trauma and Addiction Center
• Kennesaw Wellness
• Naynette Kennett
• Matt D Kent, RPH
• Chandler P Keown
• Koosha Kermani, OD
• Jason Kern

• 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 7, 2014; 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.