Healthcare Provider Details

I. General information

NPI: 1942258611
Provider Name (Legal Business Name): KEVIN ROLAND GREENSPAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4573 US HWY 221 N
MARION NC
28752-7210
US

IV. Provider business mailing address

4573 US HWY 221 N
MARION NC
28752-7210
US

V. Phone/Fax

Practice location:
  • Phone: 828-691-3551
  • Fax:
Mailing address:
  • Phone: 828-691-3551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1950
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: