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Bluegrass Chiropractic Center Llc

Bluegrass Chiropractic Center Llc is a health care provider in Bardstown, KY. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 606a Bloomfield Road, Bardstown, KY 40004, US
Practice Location Phone502-350-3700
Practice Location Fax
Legal Business NameBLUEGRASS CHIROPRACTIC CENTER LLC
NPI ?1801960042
Entity TypeOrganization
Enumeration Date ? Nov 20, 2006
Last Update Date ? Feb 29, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Bluegrass Chiropractic Center Llc

SpecialtySpecializationLicenseLicense State
Chiropractor 4521Kentucky

legacy-id-icon Legacy Provider IDs of Bluegrass Chiropractic Center Llc

Provider IdIssuer StateIssuer TypeIssuer
1155747KentuckyOtherPASSPORT
85001931KentuckyMedicaid

official-icon Authorized Official of Bluegrass Chiropractic Center Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Bluegrass Chiropractic Center Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Terry Kevyn Marmon (DC)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number502-350-3700