Provider Demographics
NPI:1639319072
Name:ABUNDANT WELLNESS, INC.
Entity Type:Organization
Organization Name:ABUNDANT WELLNESS, INC.
Other - Org Name:CAPITAL WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-787-8276
Mailing Address - Street 1:3434 EDWARDS MILL RD
Mailing Address - Street 2:SUITE 112-275
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-4275
Mailing Address - Country:US
Mailing Address - Phone:919-787-8276
Mailing Address - Fax:919-787-8276
Practice Address - Street 1:4940 CAPITAL BLVD
Practice Address - Street 2:BLDG B
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-4491
Practice Address - Country:US
Practice Address - Phone:919-787-8276
Practice Address - Fax:919-787-8276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1584111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty