Individual
DR. KENNETH L MCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2325 LOG CABIN DR SE, SUITE 107, SMYRNA, GA 30080-6798
(770) 432-1199
(770) 432-1195
Mailing address
2325 LOG CABIN DR SE, SUITE 107, SMYRNA, GA 30080-6798
(678) 977-3326
(770) 432-1195
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
008066
GA
332B00000X
Durable Medical Equipment & Medical Supplies
008066
GA
Other
Enumeration date
01/03/2007
Last updated
07/28/2022
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