Individual
DR. JEFFREY PATRICK KRAICHELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1240 CENTRAL AVE, SUMMERVILLE, SC 29483-3148
(843) 821-8787
(843) 821-8799
Mailing address
1240 CENTRAL AVE, SUMMERVILLE, SC 29483-3148
(843) 821-8787
(843) 821-8799
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3509
SC
111N00000X
Chiropractor
6573
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCH614
—
SC
01
—
P00981658
MEDICARE RAILROAD
SC
Enumeration date
01/08/2009
Last updated
10/30/2019
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