Provider Demographics
NPI:1629750575
Name:ADAIR, KAYSIE (DC)
Entity Type:Individual
Prefix:
First Name:KAYSIE
Middle Name:
Last Name:ADAIR
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 1:4400 MACCORKLE AVE SE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-2506
Mailing Address - Country:US
Mailing Address - Phone:304-314-7030
Mailing Address - Fax:304-309-3081
Practice Address - Street 1:4400 MACCORKLE AVE SE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-2506
Practice Address - Country:US
Practice Address - Phone:304-314-7030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY285977111N00000X
WV1087111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor