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NORTHERN KY CHIROPRACTIC SPINE & INJURY CENTER LLC NPI 1053653790


NPI Information

NPI: 1053653790
Provider Name: NORTHERN KY CHIROPRACTIC SPINE & INJURY CENTER LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 18D2126725

Address:
1671 PARK RD STE 14
FT WRIGHT, KY
ZIP 41011
Phone: (859) 393-5904
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NORTHERN KY CHIROPRACTIC SPINE & INJURY CENTER LLC is a chiropractor in Ft Wright, KY. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. NORTHERN KY CHIROPRACTIC SPINE & INJURY CENTER LLC NPI is 1053653790. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1671 PARK RD STE 14
FT WRIGHT, KY
ZIP 41011-769
Phone: (859) 393-5904
Fax: (859) 291-5774

The provider's authorized official is Samuel Forlenza .
The authorized official title is President and has the following contact phone number (859) 393-5904.

The CLIA number assigned to this NPI record is 18D2126725 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2013 and was last updated on 3/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorKENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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