Provider Demographics
NPI:1659934891
Name:FRANK, KRISTA (DC)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:FRANK
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 1:4640 SHORE DR STE 108
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-2859
Mailing Address - Country:US
Mailing Address - Phone:757-321-7776
Mailing Address - Fax:
Practice Address - Street 1:4640 SHORE DR STE 108
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-2859
Practice Address - Country:US
Practice Address - Phone:757-321-7776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-14
Last Update Date:2019-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557567111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor