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Dr. Jon R. Krutak, DC
Chiropractor in Kingsport, Tennessee
NPI 1033177365

Jon R. Krutak is a Chiropractor based in Kingsport, TN. Jon R. Krutak practices in Kingsport, TN and has the professional credentials of DC. The NPI Number for Jon R. Krutak is 1033177365 and holds a License No. DC1096 (Tennessee).

The current practice location address for Jon R. Krutak is 4924 Fort Henry Dr, Kingsport, TN and can be reached out via phone at 423-239-7340 and via fax at 423-239-7452.

Location: 4924 Fort Henry Dr, Kingsport, TN, 37663-3386
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033177365
Provider Name
Jon R. Krutak
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
4924 Fort Henry Dr, Kingsport, TN, 37663-3386
Phone Number
423-239-7340
Fax Number
423-239-7452
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3676970 05 TN
3058747 01 TN BLUE CROSS BLUE SHIELD
TN0102 01 TN UNITED HEALTHCARE
P00441207 01 TN RAILROAD MEDICARE
TN0104 01 TN JOHN DEERE
4324698 01 TN CIGNA
institution
Provider Business Practice Location Address Details
Address
4924 Fort Henry Dr
City
Kingsport
State
Tennessee
Zip
37663-3386
Phone Number
423-239-7340
Fax Number
423-239-7452
person
Provider Business Mailing Address Details
Address
4924 Fort Henry Dr
City
Kingsport
State
Tennessee
Zip
37663-3386
Phone Number
423-239-7340
Fax Number
423-239-7452
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC1096 (Tennessee)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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