| NPI | 1962645614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L SULLIVAN Chiropractor/Owner 859-263-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 5038) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: KY 5077) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-04-20 |