Provider Demographics
NPI:1316934276
Name:KROL, CAROL ANN (DC)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ANN
Last Name:KROL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5180 W ATLANTIC AVE STE 123
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8103
Mailing Address - Country:US
Mailing Address - Phone:561-498-8005
Mailing Address - Fax:561-498-2222
Practice Address - Street 1:5180 W ATLANTIC AVE STE 123
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8103
Practice Address - Country:US
Practice Address - Phone:561-498-8005
Practice Address - Fax:561-498-2222
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3887111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380231100Medicaid
FL380231100Medicaid
FL88841Medicare ID - Type Unspecified