Provider Demographics
NPI:1144470055
Name:PETROCCO-NAPULI, KRISTINA LOUISE (DC)
Entity type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:LOUISE
Last Name:PETROCCO-NAPULI
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 1:6698 68TH AVE N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-5015
Mailing Address - Country:US
Mailing Address - Phone:727-803-6121
Mailing Address - Fax:
Practice Address - Street 1:6698 68TH AVE N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-5015
Practice Address - Country:US
Practice Address - Phone:727-803-6121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-27
Last Update Date:2017-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX10782111N00000X
FLCH11190111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor