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DR. KANDICE JOETTE WOMMACK D.C.
NPI 1467484980
Chiropractor in Benton, KY

Active since July 07, 2006
142 VINE ST, BENTON, KY 42025(270) 527-0000(270) 527-2121 Get Directions Write a Review

NPPES record last updated: October 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kandice Joette Wommack D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KANDICE JOETTE WOMMACK D.C. (NPI 1467484980) is an individual chiropractor in Benton, Kentucky, licensed in Kentucky (4556) and active in the NPI registry since July 2006. She is a graduate of Logan College Of Chiropractic (1999).

NPPES Registry Identity

NPI1467484980
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. KANDICE JOETTE WOMMACKCredential: D.C.
Location Address142 VINE STBenton, KY 42025-7472
Mailing Address142 Vine StBenton, KY 42025-7472 · (270) 527-0000 · Fax (270) 527-2121
Phone(270) 527-0000
Fax(270) 527-2121
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 1999
Enumeration DateJuly 7, 2006
Last NPPES UpdateOctober 16, 2017
✔ NPI 1467484980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in KY · 4556
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
142 VINE ST, Benton, KY 42025
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Other Identifiers 7

Medicare UPINU79272KY
Other7670104KY · Aetna
Other614099KY · Acn
Medicare PIN6089001KY
Other000000077520KY · Anthrm Bcbs
Other350052669KY · Railroad Medicare
Other44-00390KY · Uhc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kandice Joette Wommack D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951325828
PECOS Enrollment IDI20060118000544

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
1,957 services221 patients
Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
144 services66 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DILATUSH CHIROPRACTIC, INC.
Chiropractor
142 VINE ST
BENTON, KY 42025
Marshall County (270) 527-0000
DR. SUSAN CHRISTINE DILATUSH D.C.
Chiropractor
142 VINE ST
BENTON, KY 42025
Marshall County (270) 527-0000
DR. JUSTIN HUGH MATHIS D.C.
Chiropractor
142 VINE ST
BENTON, KY 42025
Marshall County (270) 527-0000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kandice Wommack's NPI number?

The NPI number for Kandice Wommack is 1467484980. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Kandice Wommack located?

Kandice Wommack practices at 142 Vine St, Benton, KY 42025. The listed phone number is (270) 527-0000.

What is Kandice Wommack's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kandice Wommack enrolled in Medicare?

Yes. Kandice Wommack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kandice Wommack was last updated on October 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.