Provider Demographics
NPI:1609394667
Name:KRAHN, CASEY (DC)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:KRAHN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 BYPASS S UNIT 5
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40342-8047
Mailing Address - Country:US
Mailing Address - Phone:502-839-7774
Mailing Address - Fax:
Practice Address - Street 1:2501 E COLLEGE AVE STE C
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IL
Practice Address - Zip Code:61704-2484
Practice Address - Country:US
Practice Address - Phone:309-661-1155
Practice Address - Fax:309-661-1155
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.13135111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor