Provider Demographics
NPI:1326049701
Name:DUREN, KRYSTEN BUTLER (DC)
Entity Type:Individual
Prefix:DR
First Name:KRYSTEN
Middle Name:BUTLER
Last Name:DUREN
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 1:53 GREATWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WHITE
Mailing Address - State:GA
Mailing Address - Zip Code:30184-2892
Mailing Address - Country:US
Mailing Address - Phone:770-231-7570
Mailing Address - Fax:
Practice Address - Street 1:3451 COBB PKWY NW
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-4000
Practice Address - Country:US
Practice Address - Phone:770-974-9220
Practice Address - Fax:770-974-9221
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO07779111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor