Provider Demographics
NPI:1922159938
Name:KRANSKI, KLINTON JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:KLINTON
Middle Name:JAMES
Last Name:KRANSKI
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 1:6611 AMMON ROAD
Mailing Address - Street 2:
Mailing Address - City:FORD
Mailing Address - State:VA
Mailing Address - Zip Code:23850
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2940 W FLORIDA AVE STE B
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92545-3655
Practice Address - Country:US
Practice Address - Phone:951-925-7609
Practice Address - Fax:951-765-1744
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34524111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA246528OtherANTHEM PROVIDER #
VA640120OtherUNITED HEALTH CARE PROVID
VA7499365OtherAETNA PROVIDER #
VA1903361OtherCIGNA PROVIDER #
VA246528OtherANTHEM PROVIDER #