Provider Demographics
NPI:1508628504
Name:ROOKS, KENDALL FAITH (DC)
Entity Type:Individual
Prefix:
First Name:KENDALL
Middle Name:FAITH
Last Name:ROOKS
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 1:214 COUNTY ROAD 1064
Mailing Address - Street 2:
Mailing Address - City:VINEMONT
Mailing Address - State:AL
Mailing Address - Zip Code:35179-7424
Mailing Address - Country:US
Mailing Address - Phone:256-620-1061
Mailing Address - Fax:
Practice Address - Street 1:25179 AL-195
Practice Address - Street 2:
Practice Address - City:DOUBLE SPRINGS
Practice Address - State:AL
Practice Address - Zip Code:35553
Practice Address - Country:US
Practice Address - Phone:205-489-3393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2840111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor