Provider Demographics
NPI:1265579957
Name:CALAIN, KENNETH S (DC)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:S
Last Name:CALAIN
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 1:3624 EDGEWOOD RD
Mailing Address - Street 2:STE A
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-8238
Mailing Address - Country:US
Mailing Address - Phone:706-563-3370
Mailing Address - Fax:770-695-0348
Practice Address - Street 1:145 HEAD AVE
Practice Address - Street 2:
Practice Address - City:TALLAPOOSA
Practice Address - State:GA
Practice Address - Zip Code:30176-1260
Practice Address - Country:US
Practice Address - Phone:770-574-5005
Practice Address - Fax:770-574-5006
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2660111N00000X
GA008148111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCJWSMedicare PIN