| |
138 Eastbrooke Court, Suite 130, Mount Washington, KY 40047 | |
(502) 538-0222 | |
(502) 538-0282 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 138 Eastbrooke Court, Mount Washington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659519031 | NPI | - | NPPES |
00911 | Other | KY | PTAN |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 5164 (Kentucky) | Primary |
Mailing Address | Practice Location Address |
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Po Box 1379, Mount Washington, KY 40047-1379 Ph: (502) 594-2504 | 138 Eastbrooke Court, Suite 130, Mount Washington, KY 40047 Ph: (502) 538-0222 |