Individual
DR. CHARLES ANDREW KRIVENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1550 WILTON LN, SANIBEL, FL 33957-4223
(239) 395-2949
Mailing address
1550 WILTON LN, SANIBEL, FL 33957-4223
(239) 395-2949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME79832
FL
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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