Healthcare Provider Details

I. General information

NPI: 1922682251
Provider Name (Legal Business Name): KAYLA NICHOLE CALHOUN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAYLA NICHOLE LONG DC

II. Dates (important events)

Enumeration Date: 05/12/2021
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 E MATTHEWS ST
MATTHEWS NC
28105-5372
US

IV. Provider business mailing address

3009 FIREWOOD DR
MATTHEWS NC
28105-0877
US

V. Phone/Fax

Practice location:
  • Phone: 704-774-5030
  • Fax:
Mailing address:
  • Phone: 704-774-5030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6047
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: