Provider Demographics
NPI:1588333710
Name:KEMMERLIN, DAVID AUSTIN (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:AUSTIN
Last Name:KEMMERLIN
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 1:1022 TURNING LEAF CIR
Mailing Address - Street 2:
Mailing Address - City:BOILING SPRINGS
Mailing Address - State:SC
Mailing Address - Zip Code:29316-4818
Mailing Address - Country:US
Mailing Address - Phone:843-260-4175
Mailing Address - Fax:
Practice Address - Street 1:1022 TURNING LEAF CIR
Practice Address - Street 2:
Practice Address - City:BOILING SPRINGS
Practice Address - State:SC
Practice Address - Zip Code:29316-4818
Practice Address - Country:US
Practice Address - Phone:843-260-4175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4693111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor