| Kuperus Family Chiropractic Psc | |
|
105 Lyndon Ln, Suite 102, Louisville, KY 40222-5550 | |
| (502) 426-6715 | |
| (502) 426-6716 |
| Full Name | Kuperus Family Chiropractic Psc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 105 Lyndon Ln, 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 |
|---|---|---|---|
| 1639433295 | NPI | - | NPPES |
| 200977090 | Medicaid | IN | |
| 7100131790 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5228 (Kentucky) | Primary |
| Provider Name | Rachael A Kuperus |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801024591 PECOS PAC ID: 4082744206 Enrollment ID: I20100615000779 |
| Mailing Address | Practice Location Address |
|---|---|
| Kuperus Family Chiropractic Psc 105 Lyndon Ln, Suite 102, Louisville, KY 40222-5550 Ph: (502) 426-6715 | Kuperus Family Chiropractic Psc 105 Lyndon Ln, Suite 102, Louisville, KY 40222-5550 Ph: (502) 426-6715 |
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