| Bluegrass Chiropractic Inc. | |
|
1132 Winchester Rd Ste 125, Lexington, KY 40505-4042 | |
| (859) 254-0059 | |
| (859) 254-1033 |
| Full Name | Bluegrass Chiropractic Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1132 Winchester Rd Ste 125, Lexington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639340912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3973 (Kentucky) | Primary |
| Provider Name | Barry Leon Pelton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1831234434 PECOS PAC ID: 5991876401 Enrollment ID: I20111102000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Chiropractic Inc. 1132 Winchester Road, Suite 125, Lexington, KY 40505 Ph: (859) 254-0059 | Bluegrass Chiropractic Inc. 1132 Winchester Rd Ste 125, Lexington, KY 40505-4042 Ph: (859) 254-0059 |
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