Doctor Name: | DR. KYLE W VONDEYLEN |
NPI Number: | 1639189731 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 3751 |
Business Practice Address: | 1630 Buford Hwy Suite 6 Buford, GA - 305183629 |
Business Phone Number: | 7709450561 |
Business Fax Number: | 7709450517 |
Mailing Address: | 1630 Buford Hwy, Suite 6 BUFORD |
State: | GA |
Postal Code: | 305183629 |
Phone Number: | 7709450561 |
Fax Number: | 7709450517 |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 06/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 3751 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |