Statom Chiropractic INC

NPI #1720479827 in Louisville, Kentucky

Provider Information

NPI Number: 1720479827
Entity Type: Organization
Organization Name: Statom Chiropractic INC
Primary Specialty: Chiropractor
Enumeration Date: Feb 10, 2015
Last Updated: Feb 10, 2015

Practice Location

Address: 2210 MEADOW DR
Address 2: SUITE 5
City: Louisville
State: Kentucky
ZIP Code: 40218-1323
Phone: (502) 822-1668

Authorized Official

Name: KEVIN M STATOM, DC
Title: OWNER
Phone: (502) 822-1668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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