Provider Demographics
NPI:1811189830
Name:DWYER, KIRSTEN BRITT (DC)
Entity Type:Individual
Prefix:DR
First Name:KIRSTEN
Middle Name:BRITT
Last Name:DWYER
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 1:287 MORGAN ST
Mailing Address - Street 2:
Mailing Address - City:SENOIA
Mailing Address - State:GA
Mailing Address - Zip Code:30276-2022
Mailing Address - Country:US
Mailing Address - Phone:678-687-5017
Mailing Address - Fax:
Practice Address - Street 1:7285 HIGHWAY 16 STE C
Practice Address - Street 2:
Practice Address - City:SENOIA
Practice Address - State:GA
Practice Address - Zip Code:30276-3348
Practice Address - Country:US
Practice Address - Phone:678-687-5017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO05306111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor