KENNETH ROBERT WEIL (NPI# 1639108079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639108079 |
| Entity Type | Individual |
| Full Name | KENNETH ROBERT WEIL |
| Credential | DC |
| Practice Address |
1715 Howell Mill Rd Nw C-12 Atlanta GA 30318-3121 |
| Mailing Address |
1715 Howell Mill Rd Nw Ste C12 Atlanta GA 30318-3117 |
| Practice Telephone | 4043508000 |
| Practice Fax Number | 4043508072 |
| Mailing Telephone | 4043508000 |
| Mailing Fax Number | 4043508072 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2010-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5608 | GA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE | 35ZCDQP | 01 |
| GA | BLUE CROSS BLUE SHIELD # | 672394 | 01 |
| Street Address |
1715 HOWELL MILL RD NW C-12 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30318-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585542 | Philip Mensah | Pharmacist | 1715 Howell Mill Rd Nw, Atlanta, GA 30318-3167 | 2020-10-14 |
| 1881292662 | Matthew Lewis | Pharmacist | 1715 Howell Mill Rd Nw, Atlanta, GA 30318-3167 | 2020-10-13 |
| 1750893764 | Hollie O'neal | Chiropractor | 1715 Howell Mill Rd Nw, Atlanta, GA 30318-3167 | 2017-10-31 |
| 1457899247 | Gerald Kilpatrick IIi | Chiropractor | 1715 Howell Mill Rd Nw, Atlanta, GA 30318-3167 | 2017-02-01 |
| 1518364892 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 1715 Howell Mill Rd Nw, B2, Atlanta, GA 30318-3167 | 2014-12-02 |
| 1568872398 | Lisa Bernadette Niles-meunier | Contractor | 1715 Howell Mill Rd Nw, Atlanta, GA 30318-3167 | 2014-05-01 |
| 1609077833 | Onsite Rehab Inc. | Clinic/Center | 1715 Howell Mill Rd Nw, Suite B2, Atlanta, GA 30318-3167 | 2007-05-28 |
| 1619011277 | Robert Michael Hopcroft Jr. | Physical Therapy Assistant | 1715 Howell Mill Rd Nw, Ste B2, Atlanta, GA 30318-3167 | 2007-02-16 |
| 1861426686 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1715 Howell Mill Rd Nw, Atlanta, GA 30318-3167 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1639793664 | 100 Percent Chiropractic Sberger LLC | Chiropractor | 2250 Marietta Blvd, Suite 303, Atlanta, GA 30318 | 2020-06-05 |
| 1326518945 | Sharon Emancia Joseph | Nurse Practitioner | 1517 Whitehead Bluff Nw, Atlanta, GA 30318 | 2018-11-27 |
| 1124597646 | Cindy Denise Oden | Registered Nurse | 1903 Drew Dr Nw, Apt 2200, Atlanta, GA 30318 | 2018-11-14 |
| 1558838052 | Amanda Renee Wilson | Social Worker | 2118 Adams Overlook Nw, Atlanta, GA 30318 | 2018-11-01 |
| 1386135010 | Missions Possible of Atlanta Day Program LLC. | Counselor | 805 Ayrshire Cir Nw, Atlanta, GA 30318 | 2018-05-29 |
| 1295254639 | Danielle Olivia Jones | Counselor | 1391 Collier Road Nw, Apt 1304, Atlanta, GA 30318 | 2017-09-18 |
| 1104372317 | Kera Baker | Massage Therapist | 1397 B Carroll Drive Nw, Atlanta, GA 30318 | 2016-08-28 |
| 1588015648 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 1000 Techwood Dr Nw, Atlanta, GA 30318 | 2016-06-29 |
| 1104286707 | B Webb, Inc | Specialist | 1675 Lower Roswell Rd, Marietta, GA 30318 | 2016-02-25 |
| Find all providers in zip 30318 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129441 | Ian Michael Koll | Chiropractor | 6100 Lake Forrest Dr Ste 320, Atlanta, GA 30328-3835 | 2020-09-21 |
| 1831713684 | Asia Barclay | Chiropractor | 6855 Foxfire Pl, Atlanta, GA 30349-1384 | 2020-06-07 |
| 1639793664 | 100 Percent Chiropractic Sberger LLC | Chiropractor | 2250 Marietta Blvd, Suite 303, Atlanta, GA 30318 | 2020-06-05 |
| 1427672120 | Brittany Guifarro | Chiropractor | 552 Ponce De Leon Ave Ne Ste 552, Atlanta, GA 30308-1806 | 2020-05-29 |
| 1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
| 1750900858 | Jill Driver | Chiropractor | 1390 Lanier Blvd Ne, 1409-a, Atlanta, GA 30306 | 2020-04-09 |
| 1972131043 | Rebecca Katherine Young | Chiropractor | 4895 Atlanta Rd Se Ste 124b, Atlanta, GA 30339-1518 | 2020-04-01 |
| 1083249734 | Tia Hill | Chiropractor | 457 Flat Shoals Ave Se Ste 4, Atlanta, GA 30316-1962 | 2020-03-03 |
| 1518599513 | Shawn Robinson | Chiropractor | 659 Auburn Ave Ne Ste G04, Atlanta, GA 30312-1953 | 2020-02-07 |
| 1174155394 | Keishla Yaritza Roman Ramos | Chiropractor | 3151 Stillhouse Creek Dr Se, Atlanta, GA 30339-3537 | 2020-02-05 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on KENNETH ROBERT WEIL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.