| NPI | 1962753665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO R BOISVERT Owner/Doctor 859-354-7041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NP0017X Chiropractor Pediatric Chiropractor (Licence: KY 5052) |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2022-12-28 |