| NPI | 1104962596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL RICHARD FARR President 270-251-0907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 4685) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 4685) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2012-10-19 |