Provider Demographics
NPI:1689474165
Name:FRONTINE, KAILEY L (DC)
Entity type:Individual
Prefix:
First Name:KAILEY
Middle Name:L
Last Name:FRONTINE
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2955 W SYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-4227
Mailing Address - Country:US
Mailing Address - Phone:419-473-2955
Mailing Address - Fax:419-473-8680
Practice Address - Street 1:2955 W SYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-4227
Practice Address - Country:US
Practice Address - Phone:419-473-2955
Practice Address - Fax:419-473-8680
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-05441111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor