Provider Demographics
NPI:1366571895
Name:KYTCHAK CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:KYTCHAK CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:KYTCHAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-588-7550
Mailing Address - Street 1:418 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16125-1773
Mailing Address - Country:US
Mailing Address - Phone:724-588-7550
Mailing Address - Fax:724-588-1788
Practice Address - Street 1:418 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16125-1773
Practice Address - Country:US
Practice Address - Phone:724-588-7550
Practice Address - Fax:724-588-1788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty