| Dr L Scott Dupont, MS, DC | |
|
3318 Bardstown Rd, Louisville, KY 40218-4602 | |
| (502) 456-5353 | |
| (502) 456-5373 |
| Full Name | Dr L Scott Dupont |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 3318 Bardstown Rd, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639126261 | NPI | - | NPPES |
| 61118711 | Other | KY | TAX ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4934 (Kentucky) | Primary |
| Provider Name | Jl Chiropractic, P.s.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407989296 PECOS PAC ID: 1456443506 Enrollment ID: O20070822000469 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr L Scott Dupont, MS, DC 3318 Bardstown Rd, Louisville, KY 40218-4602 Ph: (502) 456-5353 | Dr L Scott Dupont, MS, DC 3318 Bardstown Rd, Louisville, KY 40218-4602 Ph: (502) 456-5353 |
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