Provider Demographics
NPI:1609148618
Name:DORION, KENDALL (DC)
Entity Type:Individual
Prefix:DR
First Name:KENDALL
Middle Name:
Last Name:DORION
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 1:400 W PEACHTREE ST NW
Mailing Address - Street 2:801
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-3536
Mailing Address - Country:US
Mailing Address - Phone:404-734-0509
Mailing Address - Fax:404-671-9539
Practice Address - Street 1:3232 PEACHTREE RD NE
Practice Address - Street 2:SUITE D STUDIO 30
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2407
Practice Address - Country:US
Practice Address - Phone:404-734-0509
Practice Address - Fax:404-671-9539
Is Sole Proprietor?:No
Enumeration Date:2012-02-07
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9998111N00000X
GACHIR009276111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor