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NPI Code Detail

MEDICARE: DR. AMANDA CELIA KRKIC DC

MEDICARE: DR. AMANDA CELIA KRKIC DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor4714OH

General Provider Information

NPI Number : 1538511217
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMANDA CELIA KRKIC DC
Provider Business Mailing Address
First Line : 168 EAST AVE
Second Line :
City : TALLMADGE
State : OH
Zip : 44278
Country : US
Telephone Number : 330-633-1909
Fax Number :
Provider Business Practice Location Address
First Line : 168 EAST AVE
Second Line :
City : TALLMADGE
State : OH
Zip : 44278-2311
Country : US
Telephone Number : 330-633-1909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2016
Last Update Date : 09/08/2019

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Directions to “ DR. AMANDA CELIA KRKIC DC” Practice Location

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