Provider Demographics
NPI:1447267968
Name:KALEINA, DAVID GREGORY (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:GREGORY
Last Name:KALEINA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4639 STATE ROUTE 136
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-6484
Mailing Address - Country:US
Mailing Address - Phone:724-838-1020
Mailing Address - Fax:724-838-1082
Practice Address - Street 1:4639 STATE ROUTE 136
Practice Address - Street 2:SUITE 2
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6484
Practice Address - Country:US
Practice Address - Phone:724-838-1020
Practice Address - Fax:724-838-1082
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002234L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA184865Medicare PIN