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Individual

DR. KEVIN SCOTT KAZAKEVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4052 ATLANTA ST, SUITE C, POWDER SPRINGS, GA 30127-2693
(770) 439-0198
Mailing address
327 CABARET CT SW, MARIETTA, GA 30064-3617
(404) 944-6548

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CHIR009027
GA

Other

Enumeration date
07/26/2012
Last updated
07/26/2012
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