Provider Demographics
NPI:1285038547
Name:KURELOWECH, ANDREA K (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:K
Last Name:KURELOWECH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1130 E MISSOURI AVE
Mailing Address - Street 2:STE 180
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-2736
Mailing Address - Country:US
Mailing Address - Phone:602-358-7688
Mailing Address - Fax:602-883-7878
Practice Address - Street 1:1130 E MISSOURI AVE
Practice Address - Street 2:STE 180
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-2736
Practice Address - Country:US
Practice Address - Phone:602-358-7688
Practice Address - Fax:602-883-7878
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-15
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8430111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor