Provider Demographics
NPI:1619507159
Name:SHRACK, KARA (DC)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:
Last Name:SHRACK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:O'CONNOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:7350 VILLAGE SQUARE LN
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-4502
Mailing Address - Country:US
Mailing Address - Phone:317-598-1410
Mailing Address - Fax:317-598-9807
Practice Address - Street 1:5515 W 38TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-2995
Practice Address - Country:US
Practice Address - Phone:317-880-3838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-23
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08003147A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor