Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4452 | KY |
NPI | 1972512440 |
---|---|
Provider Name | Dr. Douglas Patrick Krift |
First Address | Fort Thomas, KY 41075-2453 |
Second Address | Fort Thomas, KY 41075-2453 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 13/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U75380 | (02) |