Healthcare Provider Details

I. General information

NPI: 1619041589
Provider Name (Legal Business Name): DARBY JOSEPH KREMER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 07/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1518 SOLANO ST. STE. A
CORNING CA
96021-2931
US

IV. Provider business mailing address

1518 SOLANO ST. STE A
CORNING CA
96021-2931
US

V. Phone/Fax

Practice location:
  • Phone: 530-824-2448
  • Fax: 530-924-1618
Mailing address:
  • Phone: 530-824-2448
  • Fax: 530-924-1618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number26082
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: