Provider Demographics
NPI:1710917463
Name:KURINKO-GRIFFIN, SHERRI LYNN
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:LYNN
Last Name:KURINKO-GRIFFIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 SCHLOSSER RD
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33875-5530
Mailing Address - Country:US
Mailing Address - Phone:863-314-0373
Mailing Address - Fax:863-385-6877
Practice Address - Street 1:2120 SCHLOSSER RD
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33875-5530
Practice Address - Country:US
Practice Address - Phone:863-314-0373
Practice Address - Fax:863-385-6877
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7464111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381526900Medicaid
FL381526900Medicaid