Provider Demographics
NPI:1962574582
Name:ALMOND, ANDREA J (DC)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:J
Last Name:ALMOND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ANDREA
Other - Middle Name:J
Other - Last Name:GILLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3077 BUELL RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-4505
Mailing Address - Country:US
Mailing Address - Phone:513-266-6264
Mailing Address - Fax:513-559-1203
Practice Address - Street 1:52 CAROTHERS RD
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41071-2456
Practice Address - Country:US
Practice Address - Phone:859-581-0949
Practice Address - Fax:859-581-1387
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2040111N00000X
KY5102111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000375340OtherANTHEM
OH311360022027OtherCARESOURCE
OH681532OtherACN
OH0991388Medicaid
OH681532OtherMEDICARE COMPLETE
OH681532OtherACN
OH681532OtherMEDICARE COMPLETE
OH0991388Medicaid