| NPI | 1003562810 |
|---|---|
| Doing Business As | IMAC MEDICAL OF KENTUCKY PSC |
| Entity Type | Organization |
| Authorized Contact | BAILEE BOYETT Credentialing Specialist 615-678-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0000X Registered Nurse, Pain Management |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-04-11 |