Individual
DR. KODY LELAN CHASTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
60 W SUNBRIDGE DR STE 2, FAYETTEVILLE, AR 72703-1822
(479) 443-3553
Mailing address
5023 W CHIMON WAY, FAYETTEVILLE, AR 72704-6959
(479) 234-0463
(479) 910-0316
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
T16233
AR
Other
Enumeration date
10/21/2019
Last updated
04/30/2026
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