| NPI | 1588711204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN E FERGUSON President 502-231-8068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 4361) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 4383) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |