Provider Demographics
NPI:1649314030
Name:KALINS, JEFFREY CHARLES (DC,)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:CHARLES
Last Name:KALINS
Suffix:
Gender:M
Credentials:DC,
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:S
Other - Last Name:KALINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8501 HIGHWAY 85
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-4183
Mailing Address - Country:US
Mailing Address - Phone:770-478-5350
Mailing Address - Fax:770-478-1476
Practice Address - Street 1:8501 HIGHWAY 85
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-4183
Practice Address - Country:US
Practice Address - Phone:770-478-5350
Practice Address - Fax:770-478-1476
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1551111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician