Provider Demographics
NPI:1841213766
Name:ZOUVALEKOV, KERIM SUKRI (DC)
Entity Type:Individual
Prefix:DR
First Name:KERIM
Middle Name:SUKRI
Last Name:ZOUVALEKOV
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 1:1 AVALON RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-6402
Mailing Address - Country:US
Mailing Address - Phone:740-393-3791
Mailing Address - Fax:740-393-3719
Practice Address - Street 1:1 AVALON RD
Practice Address - Street 2:SUITE 1
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-6402
Practice Address - Country:US
Practice Address - Phone:740-393-3791
Practice Address - Fax:740-393-3719
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC.2676111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH7116053OtherAETNA
OH2141186Medicaid
OH2141186Medicaid
OH7116053OtherAETNA