Healthcare Provider Details

I. General information

NPI: 1265343172
Provider Name (Legal Business Name): KONDON CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 MARKET ST STE 140
PHILADELPHIA PA
19103-7048
US

IV. Provider business mailing address

1520 HAMILTON ST APT 1026
PHILADELPHIA PA
19130-4296
US

V. Phone/Fax

Practice location:
  • Phone: 401-480-6974
  • Fax:
Mailing address:
  • Phone: 401-480-6974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM KONDON
Title or Position: OWNER
Credential: DC
Phone: 401-480-6974