Provider Demographics
NPI:1780835496
Name:VUYIYA, CHARLES KENYA (DC)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:KENYA
Last Name:VUYIYA
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 1:148 WEST DR
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-9419
Mailing Address - Country:US
Mailing Address - Phone:864-329-6832
Mailing Address - Fax:864-599-7814
Practice Address - Street 1:148 WEST DR
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-9419
Practice Address - Country:US
Practice Address - Phone:864-329-6832
Practice Address - Fax:864-599-7814
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3278111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1780835496OtherINDIVIDUAL NPI #
SCAA3281Medicare UPIN
SC1780835496OtherINDIVIDUAL NPI #