| Summit Family Chiropractic | |
|
3167 Custer Dr Ste 202, Lexington, KY 40517-4018 | |
| (859) 271-2285 | |
| Not Available |
| Full Name | Summit Family Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3167 Custer Dr Ste 202, 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 |
|---|---|---|---|
| 1164136768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Susan Marie Gore |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518515923 PECOS PAC ID: 4880926856 Enrollment ID: I20191023002690 |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Family Chiropractic 3167 Custer Dr Ste 202, Lexington, KY 40517-4018 Ph: () - | Summit Family Chiropractic 3167 Custer Dr Ste 202, Lexington, KY 40517-4018 Ph: (859) 271-2285 |
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