Provider Demographics
NPI:1578869491
Name:ANDREW, KARI ANNE (DC, MASCN)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:ANNE
Last Name:ANDREW
Suffix:
Gender:F
Credentials:DC, MASCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 NEWCASTLE AVE
Mailing Address - Street 2:APT #77
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3072
Mailing Address - Country:US
Mailing Address - Phone:714-418-7530
Mailing Address - Fax:
Practice Address - Street 1:5300 NEWCASTLE AVE
Practice Address - Street 2:APT #77
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-3072
Practice Address - Country:US
Practice Address - Phone:714-418-7530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-10
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32210111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor