| NPI | 1285083741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURADELL HOGANCAMP WILSON Doctor Of Chiropractic 270-562-5623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: KY 5407) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-09-06 |