| Kaitlyn Frening, | |
|
173 450 Sr 13, Jacksonville, FL 32259 | |
| (904) 288-8408 | |
| Not Available |
| Full Name | Kaitlyn Frening |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 173 450 Sr 13, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770176315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 13366 (Florida) | Primary |
| Provider Name | Balance Chiropractic, Plc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134393168 PECOS PAC ID: 9537227160 Enrollment ID: O20081024000635 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlyn Frening, 1010 N Swallow Tail Dr Apt 1405, Port Orange, FL 32129-4157 Ph: (352) 514-5945 | Kaitlyn Frening, 173 450 Sr 13, Jacksonville, FL 32259 Ph: (904) 288-8408 |
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