Provider Demographics
NPI:1407224181
Name:SPICHER, KRISTA KATHLEEN (DC)
Entity Type:Individual
Prefix:DR
First Name:KRISTA
Middle Name:KATHLEEN
Last Name:SPICHER
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 1:2113 LIME ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-6103
Mailing Address - Country:US
Mailing Address - Phone:814-603-2478
Mailing Address - Fax:
Practice Address - Street 1:2113 LIME ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-6103
Practice Address - Country:US
Practice Address - Phone:814-603-2478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-11
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4457111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor