Healthcare Provider Details

I. General information

NPI: 1811976624
Provider Name (Legal Business Name): KATHRYN L KROYER-FORCHE D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 02/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6524 SECOR RD
LAMBERTVILLE MI
48144-9431
US

IV. Provider business mailing address

6524 SECOR RD
LAMBERTVILLE MI
48144-9431
US

V. Phone/Fax

Practice location:
  • Phone: 734-568-6910
  • Fax: 734-568-6912
Mailing address:
  • Phone: 734-568-6910
  • Fax: 734-568-6912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4612
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1543
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301007237
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: