Provider Demographics
NPI:1467020834
Name:KALKREUTH CHIROPRACTIC LLC
Entity type:Organization
Organization Name:KALKREUTH CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KALKREUTH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-342-3333
Mailing Address - Street 1:92 N MAIN ST STE D
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-1754
Mailing Address - Country:US
Mailing Address - Phone:843-342-3333
Mailing Address - Fax:
Practice Address - Street 1:92 N MAIN ST STE D
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-1754
Practice Address - Country:US
Practice Address - Phone:843-342-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty