Provider Demographics
NPI:1144385840
Name:KINDRED, DRU (DC, LAC)
Entity Type:Individual
Prefix:DR
First Name:DRU
Middle Name:
Last Name:KINDRED
Suffix:
Gender:F
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2853 TONGASS AVE, SUITE 201
Mailing Address - Street 2:
Mailing Address - City:KETCHIKAN
Mailing Address - State:AK
Mailing Address - Zip Code:99901
Mailing Address - Country:US
Mailing Address - Phone:907-225-7359
Mailing Address - Fax:907-247-7359
Practice Address - Street 1:2851 TONGASS AVE.
Practice Address - Street 2:SUITE 201
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901
Practice Address - Country:US
Practice Address - Phone:907-225-7359
Practice Address - Fax:907-247-7359
Is Sole Proprietor?:No
Enumeration Date:2006-12-25
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK299111N00000X
AK30171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist