Healthcare Provider Details

I. General information

NPI: 1952241309
Provider Name (Legal Business Name): MACKENZIE KAPRAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1153 BEES FERRY RD
JOHNS ISLAND SC
29455-8074
US

IV. Provider business mailing address

1153 BEES FERRY RD UNIT 5304
JOHNS ISLAND SC
29455-8098
US

V. Phone/Fax

Practice location:
  • Phone: 410-999-5198
  • Fax:
Mailing address:
  • Phone: 410-999-5198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC.5302DC
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: