Provider Demographics
NPI:1376622233
Name:KACHINSKY, JILL LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:LYNN
Last Name:KACHINSKY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 POINTE NORTH DR
Mailing Address - Street 2:SUITE #107
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-7917
Mailing Address - Country:US
Mailing Address - Phone:770-607-5428
Mailing Address - Fax:770-607-9638
Practice Address - Street 1:20 POINTE NORTH DR
Practice Address - Street 2:SUITE #107
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-7917
Practice Address - Country:US
Practice Address - Phone:770-607-5428
Practice Address - Fax:770-607-9638
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA8029111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor