MEDICARE: BEVERLY ANN KRALY 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
1	111N00000X	Chiropractor	2685	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598765869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEVERLY ANN KRALY DC

Provider Business Mailing Address
First Line	:	126 S 2ND ST
Second Line	:
City	:	BLACK RIVER FALLS
State	:	WI
Zip	:	54615-1726
Country	:	US
Telephone Number	:	715-284-2915
Fax Number	:	715-284-7492

Provider Business Practice Location Address
First Line	:	154 E 5TH ST
Second Line	:
City	:	NEILLSVILLE
State	:	WI
Zip	:	54456-1941
Country	:	US
Telephone Number	:	715-743-3404
Fax Number	:	715-743-4999

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	03/30/2012

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Directions to “ BEVERLY ANN KRALY DC” Practice Location

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