Provider Demographics
NPI:1346919438
Name:YAWN, KYLE AARON (DC)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:AARON
Last Name:YAWN
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 1:346 GREENTREE PKWY
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31220-3638
Mailing Address - Country:US
Mailing Address - Phone:478-747-0631
Mailing Address - Fax:
Practice Address - Street 1:1304 MACON RD
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:GA
Practice Address - Zip Code:31069-2646
Practice Address - Country:US
Practice Address - Phone:478-987-7555
Practice Address - Fax:478-988-4508
Is Sole Proprietor?:No
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010615111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor