Individual
KALI R KRIVINCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
8170 S HIGHLAND DR STE E4, SANDY, UT 84093-6465
(801) 942-4999
Mailing address
7402 OGDEN AVE, SUPERIOR, WI 54880-6110
(218) 343-7173
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12810668-1202
UT
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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