Kristopher Scott Kondrad, DC | |
3220 Clark Rd, Sarasota, FL 34231-8302 | |
(941) 923-4357 | |
(941) 923-9943 |
Full Name | Kristopher Scott Kondrad |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 12 Years |
Location | 3220 Clark Rd, Sarasota, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790025450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | F1-0000855 (Delaware) | Secondary |
111N00000X | Chiropractor | CH12733 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kondrad Chiropractic Llc | 7315371879 | 2 |
Provider Name | Kondrad Chiropractic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093358186 PECOS PAC ID: 7315371879 Enrollment ID: O20191217000787 |
Mailing Address | Practice Location Address |
---|---|
Kristopher Scott Kondrad, DC 3220 Clark Rd, Sarasota, FL 34231-8302 Ph: (941) 923-4357 | Kristopher Scott Kondrad, DC 3220 Clark Rd, Sarasota, FL 34231-8302 Ph: (941) 923-4357 |
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