Provider Demographics
NPI:1194801480
Name:CIRONE, KIM THERESA (CHIROPRACTOR)
Entity type:Individual
Prefix:DR
First Name:KIM
Middle Name:THERESA
Last Name:CIRONE
Suffix:
Gender:F
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 LAKEHURST RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-7333
Mailing Address - Country:US
Mailing Address - Phone:732-341-4445
Mailing Address - Fax:732-341-0106
Practice Address - Street 1:416 LAKEHURST RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-7333
Practice Address - Country:US
Practice Address - Phone:732-341-4445
Practice Address - Fax:732-341-0106
Is Sole Proprietor?:No
Enumeration Date:2006-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC004544111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor