Organization
KENLEY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG MICHAEL BLOTNER D.C. (CHIROPRACTOR)
(770) 772-7333
Entity
Organization
Contact information
Practice address
3528 OLD MILTON PKWY, ALPHARETTA, GA 30005-4459
(770) 772-7333
(770) 772-1664
Mailing address
3528 OLD MILTON PKWY, ALPHARETTA, GA 30005-4459
(770) 772-7333
(770) 772-1664
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006571
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891740593
PERSONAL NPI NUMBER
GA
Enumeration date
02/13/2007
Last updated
08/22/2020
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