Vibrant Life Chiropractic Llc | |
2863 N Friendship Rd Paducah KY 42001-8605 | |
(270) 558-3119 | |
Not Available |
Full Name | Vibrant Life Chiropractic Llc |
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Speciality | Clinic/Center |
Location | 2863 N Friendship Rd, Paducah, Kentucky |
Authorized Official Name and Position | Lauradell Hogancamp Wilson (DOCTOR OF CHIROPRACTIC) |
Authorized Official Contact | 2705625623 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vibrant Life Chiropractic Llc 2863 N Friendship Rd Paducah KY 42001-8605 Ph: (270) 558-3119 | Vibrant Life Chiropractic Llc 2863 N Friendship Rd Paducah KY 42001-8605 Ph: (270) 558-3119 |
NPI Number | 1285083741 |
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Provider Enumeration Date | 06/06/2016 |
Last Update Date | 09/06/2016 |
Medicare PECOS PAC ID | 7416243258 |
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Medicare Enrollment ID | O20160906000181 |
Identifier | Type | State | Issuer |
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1285083741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 5407 (Kentucky) | Primary |
Provider Name | Lauradell H Wilson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1346675337 PECOS PAC ID: 7911131370 Enrollment ID: I20131018000323 |
Jeffrey L. Riney M.d. & Associates Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 Medical Center Dr, Suite 209b, Paducah, KY 42003 Phone: 270-441-4610 Fax: 270-441-4608 | |
Emerald Healthcare Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2520 New Holt Rd Ste I, Paducah, KY 42001 Phone: 270-558-3916 | |
Wilson Medical Staffing Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2603 Kentucky Ave Ste 305, Paducah, KY 42003 Phone: 270-558-5456 Fax: 270-558-5471 | |
Mercy Health Physicians Kentucky Specialty Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Medical Center Dr Ste 202, Paducah, KY 42003 Phone: 270-441-4510 Fax: 270-441-4512 | |
Western Baptist Medical Ventures, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Kentucky Ave, Paducah, KY 42003 Phone: 270-575-2101 Fax: 270-575-2905 | |
Infectious Diseases Associates Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Broadway St, Paducah, KY 42001 Phone: 270-444-9889 Fax: 270-444-9291 | |
Baptist Health Prime Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 Kentucky Ave, Suite 103, Paducah, KY 42003 Phone: 270-443-4311 Fax: 270-443-4145 |