Provider Demographics
NPI:1780800680
Name:ARNOLD, KRIS CLYDE (DC)
Entity type:Individual
Prefix:
First Name:KRIS
Middle Name:CLYDE
Last Name:ARNOLD
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 1:6009 BUSINESS 220
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15522-7646
Mailing Address - Country:US
Mailing Address - Phone:814-624-0606
Mailing Address - Fax:814-624-2455
Practice Address - Street 1:6009 BUSINESS 220
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:PA
Practice Address - Zip Code:15522-7646
Practice Address - Country:US
Practice Address - Phone:814-624-0606
Practice Address - Fax:814-624-2455
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-007841-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA506566OtherBLUE CROSS BLUE SHIELD