MEDICARE: DR. KENDALL DORION D.C.

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	CH9998	FL
2	111N00000X	Chiropractor	CHIR009276	GA

General Provider Information

NPI Number	:	1609148618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENDALL DORION D.C.

Provider Business Mailing Address
First Line	:	400 W PEACHTREE ST NW
Second Line	:	801
City	:	ATLANTA
State	:	GA
Zip	:	30308-3536
Country	:	US
Telephone Number	:	404-734-0509
Fax Number	:	404-671-9539

Provider Business Practice Location Address
First Line	:	3232 PEACHTREE RD NE
Second Line	:	SUITE D STUDIO 30
City	:	ATLANTA
State	:	GA
Zip	:	30305-2407
Country	:	US
Telephone Number	:	404-734-0509
Fax Number	:	404-671-9539

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

Provider Enumeration Date	:	02/07/2012
Last Update Date	:	03/25/2014

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Directions to “ DR. KENDALL DORION D.C.” Practice Location

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