Healthcare Provider Details

I. General information

NPI: 1255765103
Provider Name (Legal Business Name): K&R ASPIRATIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2013
Last Update Date: 09/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2303 W WHITTIER BLVD
LA HABRA CA
90631
US

IV. Provider business mailing address

2303 W WHITTIER BLVD
LA HABRA CA
90631
US

V. Phone/Fax

Practice location:
  • Phone: 562-691-8200
  • Fax: 562-691-8202
Mailing address:
  • Phone: 562-691-8200
  • Fax: 562-691-8202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. KRISTINE A LUKENS
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 562-691-8200