| Fern Creek Chiropractic Center, Psc | |
|
6521 Bardstown Rd, Louisville, KY 40291-3042 | |
| (502) 231-8068 | |
| (502) 231-8069 |
| Full Name | Fern Creek Chiropractic Center, Psc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 6521 Bardstown Rd, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588711204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4361 (Kentucky) | Primary |
| 111N00000X | Chiropractor | 4383 (Kentucky) | Secondary |
| Provider Name | Kristen E Ferguson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063537439 PECOS PAC ID: 6709809015 Enrollment ID: I20060112000114 |
| Provider Name | Mark A Hoffman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942325311 PECOS PAC ID: 0244253557 Enrollment ID: I20060112000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Fern Creek Chiropractic Center, Psc 6521 Bardstown Rd, Louisville, KY 40291-3042 Ph: (502) 231-8068 | Fern Creek Chiropractic Center, Psc 6521 Bardstown Rd, Louisville, KY 40291-3042 Ph: (502) 231-8068 |
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