| Kc Chiropractic Management Corp | |
|
1165 E New Circle Rd, Lexington, KY 40505-4150 | |
| (859) 246-0001 | |
| (859) 246-0001 |
| Full Name | Kc Chiropractic Management Corp |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1165 E New Circle Rd, 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 |
|---|---|---|---|
| 1265603260 | NPI | - | NPPES |
| 5553328 | Other | AETNA | |
| 009001044 | Other | CIGNA PPO ID | |
| 9156056 | Other | MULTIPLAN/PHCS | |
| 01469001 | Other | KY | MEDICARE PIN INDIVIDUAL |
| 7100050530 | Medicaid | KY | |
| 000000563409 | Other | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Kenneth J Clare |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730145996 PECOS PAC ID: 1951470806 Enrollment ID: I20080519000016 |
| Mailing Address | Practice Location Address |
|---|---|
| Kc Chiropractic Management Corp 1165 E New Circle Rd, Lexington, KY 40505-4150 Ph: (859) 246-0001 | Kc Chiropractic Management Corp 1165 E New Circle Rd, Lexington, KY 40505-4150 Ph: (859) 246-0001 |
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