Provider Demographics
NPI:1174284764
Name:ADKISSON, WILLIAM KENDALL (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:KENDALL
Last Name:ADKISSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 785
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:TN
Mailing Address - Zip Code:38372-0785
Mailing Address - Country:US
Mailing Address - Phone:731-925-2225
Mailing Address - Fax:731-925-2226
Practice Address - Street 1:635 WATER ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:TN
Practice Address - Zip Code:38372-2442
Practice Address - Country:US
Practice Address - Phone:731-925-2225
Practice Address - Fax:731-925-2226
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3532111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor