Provider Demographics
NPI:1376672071
Name:CARDER, KABIN J (DC)
Entity Type:Individual
Prefix:DR
First Name:KABIN
Middle Name:J
Last Name:CARDER
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 20770
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-0770
Mailing Address - Country:US
Mailing Address - Phone:614-235-3778
Mailing Address - Fax:614-235-3486
Practice Address - Street 1:2021 E DUBLIN GRANVILLE RD
Practice Address - Street 2:STE 145
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3568
Practice Address - Country:US
Practice Address - Phone:614-888-9655
Practice Address - Fax:614-888-9663
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3153111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor