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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KODY LELAN CHASTAIN, D.C.

Active Sole Proprietor

DR. KODY LELAN CHASTAIN, D.C. is a Rehabilitation (Chiropractor) healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1164065330 is currently active in the NPPES registry. Verify at CMS.

Rehabilitation (Chiropractor) · FAYETTEVILLE, AR

Registration Details

NPI Number
1164065330
Provider Type
Individual
Gender
Male
NPI Issued
Oct 21, 2019 (6.8388408656076 yrs)
Last Updated
Oct 21, 2019
License
T16233 (AR)
Sole Proprietor
Yes

Practice Information

Address
1583 MAIN DR
FAYETTEVILLE, AR, 727045214
Browse AR providers · Browse ZIP 72704
Phone
4794430800
Primary Specialty
Rehabilitation (Chiropractor)
111NR0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.