| NPI | 1962798777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN ELIZABETH BAKER Manager 270-333-4641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 5293) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 5292) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-29 |