MEDICARE: CAROLINE G KASIK DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	5542	KY
2	111N00000X	Chiropractor	4591	SC

General Provider Information

NPI Number	:	1558881094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE G KASIK DC

Provider Business Mailing Address
First Line	:	2908 DEVINE ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29205-1842
Country	:	US
Telephone Number	:	410-251-7173
Fax Number	:

Provider Business Practice Location Address
First Line	:	2908 DEVINE ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29205-1842
Country	:	US
Telephone Number	:	410-251-7173
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2017
Last Update Date	:	01/22/2024

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Directions to “ CAROLINE G KASIK DC” Practice Location

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