Prudential Chiropractic Medical Center LLC

NPI #1316360332 in Louisville, Kentucky

Provider Information

NPI Number: 1316360332
Entity Type: Organization
Organization Name: Prudential Chiropractic Medical Center LLC
Primary Specialty: Chiropractor
Enumeration Date: Jan 27, 2014
Last Updated: Jan 27, 2014

Practice Location

Address: 3411 BARDSTOWN RD STE 101
City: Louisville
State: Kentucky
ZIP Code: 40218-4612
Phone: (502) 804-3344

Authorized Official

Name: DENNIS E CLAUSE
Title: PRESIDENT
Phone: (502) 804-3344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Chiropractor	111N00000X	Primary

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