Individual
KYLE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3195 LEAPHART RD, WEST COLUMBIA, SC 29169-3001
(803) 834-3000
Mailing address
1127 EDERBACH DR, LEXINGTON, SC 29073-9810
(740) 475-7470
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4827
SC
Other
Enumeration date
05/12/2020
Last updated
08/09/2022
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