Individual
DR. DIANN M. KRYWKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30461
SC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301068080
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B51090
BLUE SHIELD
MI
05
—
4133892
—
MI
Enumeration date
09/15/2006
Last updated
01/16/2008
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