Provider Demographics
NPI:1619279510
Name:KARDEC, NAZNEEN (DC)
Entity type:Individual
Prefix:DR
First Name:NAZNEEN
Middle Name:
Last Name:KARDEC
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 1:2216 GLENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-3723
Mailing Address - Country:US
Mailing Address - Phone:267-343-5642
Mailing Address - Fax:267-343-5668
Practice Address - Street 1:2216 GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-3723
Practice Address - Country:US
Practice Address - Phone:267-343-5642
Practice Address - Fax:267-343-5668
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-28
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9612111N00000X
PACH010715111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor