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Kody S Kettle
Chiropractor in Chantilly, Virginia
NPI 1669129383

Kody S Kettle is a Chiropractor based in Chantilly, VA. Kody S Kettle practices in Chantilly, VA. The NPI Number for Kody S Kettle is 1669129383 and holds a License No. 01045557796 (Virginia).

The current practice location address for Kody S Kettle is 24805 Pinebrook Rd Ste 314, Chantilly, VA and can be reached out via phone at 702-957-3373.

Location: 24805 Pinebrook Rd Ste 314, Chantilly, VA, 20152-4128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669129383
Provider Name
Kody S Kettle
Credential
Provider Entity Type
Individual
Gender
Male
Address
24805 Pinebrook Rd Ste 314, Chantilly, VA, 20152-4128
Phone Number
702-957-3373
Fax Number
Provider Enumeration Date
03/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24805 Pinebrook Rd Ste 314
City
Chantilly
State
Virginia
Zip
20152-4128
Phone Number
702-957-3373
Fax Number
person
Provider Business Mailing Address Details
Address
24805 Pinebrook Rd Ste 314
City
Chantilly
State
Virginia
Zip
20152-4128
Phone Number
702-957-3373
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
01045557796 (Virginia)
Definition
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.
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