Provider Demographics
NPI:1275632101
Name:KLOPFER, KRISTIN NOEL (DC)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:NOEL
Last Name:KLOPFER
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 1:655 N INDIANA AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-2766
Mailing Address - Country:US
Mailing Address - Phone:941-473-7900
Mailing Address - Fax:
Practice Address - Street 1:655 N INDIANA AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-2766
Practice Address - Country:US
Practice Address - Phone:941-473-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8838111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL89627Medicare ID - Type UnspecifiedMEDICARE