Dr. Kody Lelan Chastain, D.C.
Chiropractor, Rehabilitation in Fayetteville, AR. Individual provider (NPI-1).
NPI number1164065330
StatusActive
Last updated in NPPESApr 30, 2026
Details
- NPI
- 1164065330
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kody Lelan Chastain
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2019
- Certification date
- Apr 30, 2026
- Last updated
- Apr 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NR0400X | Chiropractor, Rehabilitation | T16233 | AR | Yes |
Practice location
60 W Sunbridge Dr Ste 2Fayetteville, AR 72703-1822
Phone 479-443-3553
Mailing address
5023 W Chimon WayFayetteville, AR 72704-6959
Phone 479-234-0463 · Fax 479-910-0316
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