| Bluegrass Chiro Richmond | |
|
301 Big Hill Ave, Richmond, KY 40475-2011 | |
| (859) 353-8603 | |
| (859) 353-8605 |
| Full Name | Bluegrass Chiro Richmond |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 301 Big Hill Ave, Richmond, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154746790 | NPI | - | NPPES |
| 7100296500 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Travis S Ruda |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629154133 PECOS PAC ID: 6103711940 Enrollment ID: I20040219000538 |
| Provider Name | Dennis R Short |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811957392 PECOS PAC ID: 9931188810 Enrollment ID: I20101207001379 |
| Provider Name | Shawn Warren |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871952333 PECOS PAC ID: 5890084172 Enrollment ID: I20160510002553 |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Chiro Richmond 301 Big Hill Ave, Richmond, KY 40475-2011 Ph: (859) 353-8603 | Bluegrass Chiro Richmond 301 Big Hill Ave, Richmond, KY 40475-2011 Ph: (859) 353-8603 |
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