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FUNCTIONAL IMAGING AND ASSESSMENT OF KENTUCKY PSC NPI 1073605903


NPI Information

NPI: 1073605903
Provider Name: FUNCTIONAL IMAGING AND ASSESSMENT OF KENTUCKY PSC

Doing Business As: FUNCTIONAL IMAGING OF KENTUCKY

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1015 DUPONT RD.
LOUISVILLE, KY
ZIP 40207
Phone: (502) 897-5181
Get Directions

FUNCTIONAL IMAGING AND ASSESSMENT OF KENTUCKY PSC is a chiropractor in Louisville, 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. FUNCTIONAL IMAGING AND ASSESSMENT OF KENTUCKY PSC NPI is 1073605903. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Functional Imaging Of Kentucky.

The provider's business location address is:

1015 DUPONT RD.
LOUISVILLE, KY
ZIP 40207-610
Phone: (502) 897-5181
Fax: (502) 897-5122

The provider's authorized official is Craig A. Mueller .
The authorized official title is Director and has the following contact phone number (502) 897-5181.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 12/30/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor3754KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000203972OTHERKENTUCKYANTHEM BLUE CROSS BLUE SH
26102401MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
3T54434MEDICARE UPINKENTUCKY

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: 4/28/2024

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