KATELIN F GARDNER, DC (NPI# 1346628286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346628286 |
Entity Type | Individual |
Full Name | KATELIN F GARDNER, DC |
Credential | DC |
Practice Address |
2230 Airport Blvd Chiropractic Lifestyles West Columbia SC 29170 |
Mailing Address |
2230 Airport Blvd Chiropractic Lifestyles Columbia SC 29170 |
Practice Telephone | 8037963750 |
Mailing Telephone | 8037963750 |
Enumeration Date | 2015-05-12 |
Last Update Date | 2015-05-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | SC4031 | SC | Chiropractic Providers |
Street Address |
2230 AIRPORT BLVD CHIROPRACTIC LIFESTYLES |
City | WEST COLUMBIA |
State | SC |
Zip Code | 29170 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487032603 | Jonathan Gardner | Chiropractor | 2230 Airport Blvd, West Columbia, SC 29170-3173 | 2015-05-07 |
1235517525 | Chiropractic Lifestyles, LLC | Chiropractor | 2230 Airport Blvd, West Columbia, SC 29170-3173 | 2015-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104344993 | Holly Helms | Specialist/Technologist | 519 Dickson Hill Circle, West Columbia, SC 29170 | 2017-09-01 |
1336524115 | Mary C Ward | Nurse Practitioner | 3316 Plattsprings Rd, West Columbia, SC 29170 | 2015-07-22 |
1215379680 | Ethan Knight | Pharmacist | 244 Stonewood Court, West Columbia, SC 29170 | 2013-07-25 |
1376827238 | Myra Jones | Community Health Worker | 1059 Meeting St., West Columbia, SC 29170 | 2011-10-10 |
1043425234 | Autumn R Zamudio | Nurse's Aide | 1118 W. Fairfiled Dr., W. Columbia, SC 29170 | 2007-05-11 |
1477623791 | Deno Stavros Chrysostom | Dentist | 3308 Platt Springs Rd, West Columbia, SC 29170 | 2006-11-08 |
1760578280 | James Horace Phillips Jr. | Pharmacist | 3901 Edmund Rd, Suite D, West Columbia, SC 29170 | 2006-10-04 |
1457379901 | Lexington County Health Services District, Inc. | Family Medicine | 3314 Platt Springs Rd, West Columbia, SC 29170 | 2006-07-17 |
1558891861 | Three Rivers Residential Treatment Midlands Campus | Psychiatric Residential Treatment Facility | 200 Ermine Rd, West Columbia, SC 29170 | 2017-06-19 |
1699155119 | Michael Stewart Comer | Family Medicine | 3314 Platt Springs Rd, West Columbia, SC 29170 | 2015-06-01 |
Find all providers in zip 29170 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538707518 | Cccwc, LLC | Chiropractor | 604 12th St, West Columbia, SC 29169-6337 | 2019-12-20 |
1619443819 | Miranda Mistoler | Chiropractor | 3195 Leaphart Rd, West Columbia, SC 29169-3001 | 2018-10-16 |
1487032603 | Jonathan Gardner | Chiropractor | 2230 Airport Blvd, West Columbia, SC 29170-3173 | 2015-05-07 |
1639411812 | Johnathan Charles Dabney | Chiropractor | 161 Medical Cir, West Columbia, SC 29169-3655 | 2013-03-26 |
1538414735 | Chandler Chiropractic LLC | Chiropractor | 3119 Sunset Blvd, West Columbia, SC 29169-3425 | 2012-07-13 |
1326317900 | Juan Ramirez Jr. | Chiropractor | 202 S Columbia Dr, West Columbia, TX 77486-3020 | 2011-12-27 |
1154624922 | Marah W Rutland | Chiropractor | 1519 Augusta Rd Ste A, West Columbia, SC 29169-6167 | 2010-12-16 |
1871747493 | Clinton Drake Jacobs | Chiropractor | 2427 Fish Hatchery Rd, West Columbia, SC 29172-2093 | 2008-11-10 |
1093975682 | Ronald J Shows | Chiropractor | 2243 C Leaphart Rd, Leaphart Chiropractic LLC, West Columbia, SC 29169 | 2008-06-17 |
1639377633 | Max Collins | Chiropractor | 1929 Leander Dr, West Columbia, SC 29172-2559 | 2007-07-11 |
Find all providers in WEST COLUMBIA |
City | WEST COLUMBIA |
Zip Code | 29170 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.