| Fern Valley Chiropractic | |
|
3407 Fern Valley Rd, Louisville, KY 40213-3529 | |
| (502) 961-9355 | |
| Not Available |
| Full Name | Fern Valley Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3407 Fern Valley 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 |
|---|---|---|---|
| 1720366081 | NPI | - | NPPES |
| 85001345 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | KY4599 (Kentucky) | Primary |
| Provider Name | Steven P Jones |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699793208 PECOS PAC ID: 3173547866 Enrollment ID: I20060120000536 |
| Provider Name | Miranda J Bunge |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245618420 PECOS PAC ID: 6103137542 Enrollment ID: I20160307002792 |
| Provider Name | Kolton J Chapman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013415272 PECOS PAC ID: 8628402617 Enrollment ID: I20191227002411 |
| Provider Name | Dominic Deblasie |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801515408 PECOS PAC ID: 4284093774 Enrollment ID: I20230630001067 |
| Mailing Address | Practice Location Address |
|---|---|
| Fern Valley Chiropractic 3407 Fern Valley Rd, Louisville, KY 40213-3529 Ph: (502) 961-9355 | Fern Valley Chiropractic 3407 Fern Valley Rd, Louisville, KY 40213-3529 Ph: (502) 961-9355 |
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