DR. KELLEY KAWAMOTO (NPI# 1902988165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902988165 |
| Entity Type | Individual |
| Full Name | DR. KELLEY KAWAMOTO |
| Credential | BS, DC |
| Practice Address |
4153 River Mill Dr Duluth GA 30097-2125 |
| Mailing Address |
Po Box 1084 Duluth GA 30096-0020 |
| Practice Telephone | 4045474987 |
| Mailing Telephone | 4045474987 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIRO7030 | GA | Chiropractic Providers |
| Street Address |
4153 RIVER MILL DR |
| City | DULUTH |
| State | GA |
| Zip Code | 30097-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851661318 | Mobile Joints, LLC | Chiropractor | 4153 River Mill Dr, Duluth, GA 30097-2125 | 2011-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| 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 |
|---|---|---|---|---|
| 1164034591 | Chantelle Frazier | Chiropractor | 2131 Pleasant Hill Rd Ste 122, Duluth, GA 30096-4657 | 2020-08-18 |
| 1396371571 | Northern Lakes Chiropractic LLC | Chiropractor | 2340 Mountain Shadow Dr, Duluth, MN 55811-3809 | 2020-03-19 |
| 1578113973 | Chester Creek Chiropractic | Chiropractor | 1324 E 4th St Ste A, Duluth, MN 55805-2335 | 2019-09-17 |
| 1467007997 | Pleasant Hill Chiropractic | Chiropractor | 4390 Pleasant Hill Rd Ste G, Duluth, GA 30096-8054 | 2019-08-01 |
| 1851951024 | Marian Denisse Ortiz Rodriguez | Chiropractor | 3775 Venture Dr Bldg F, Duluth, GA 30096-5102 | 2019-06-19 |
| 1396234613 | Sangsoo Lee | Chiropractor | 2148 Duluth Highway 120 Ste 110, Duluth, GA 30097-4504 | 2018-05-02 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1942708235 | Kyle Severson | Chiropractor | 224 E Central Entrance Ste C, Duluth, MN 55811-5518 | 2018-02-01 |
| 1669987228 | Frances Hearn | Chiropractor | 2719 Irene Cir, Duluth, GA 30096-4149 | 2017-12-05 |
| 1467966911 | Corey Steven Milbrandt | Chiropractor | 925 E Superior St Ste 112, Duluth, MN 55802-2253 | 2017-11-20 |
| Find all providers in DULUTH | ||||
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| 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.