Provider Demographics
NPI:1669416145
Name:ANGELOPOULOS, VASILIKI (DC)
Entity type:Individual
Prefix:
First Name:VASILIKI
Middle Name:
Last Name:ANGELOPOULOS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:VASILIKI
Other - Middle Name:
Other - Last Name:ANGELOPOULOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC PLLC
Mailing Address - Street 1:5 PHYSICIANS PARK STE 4
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-4163
Mailing Address - Country:US
Mailing Address - Phone:562-454-9976
Mailing Address - Fax:
Practice Address - Street 1:5 PHYSICIANS PARK STE 4
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4163
Practice Address - Country:US
Practice Address - Phone:562-454-9976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY278956111N00000X
CA30167111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY278956OtherSTATE LICENCE NUMBER
KY278956OtherSTATE LICENCE NUMBER