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CHIROPRACTIC REHABILITATION & INJURY CLINIC INC NPI 1235272535


NPI Information

NPI: 1235272535
Provider Name: CHIROPRACTIC REHABILITATION & INJURY CLINIC INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2402 NEW HOLT RD
PADUCAH, KY
ZIP 42001
Phone: (270) 534-0920
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CHIROPRACTIC REHABILITATION & INJURY CLINIC INC is a chiropractor in Paducah, 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. CHIROPRACTIC REHABILITATION & INJURY CLINIC INC NPI is 1235272535. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2402 NEW HOLT RD
PADUCAH, KY
ZIP 42001-455
Phone: (270) 534-0920
Fax: (270) 534-4024

The provider's authorized official is Samuel Kent Clark .
The authorized official title is Owner and has the following contact phone number (270) 534-0920.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 10/20/2010.


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
1111N00000XChiropractor4905KENTUCKYYes

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
1U98125MEDICARE UPINKENTUCKY
29610MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYMEDICARE GROUP PROV NMBR
36443880001MEDICARE NSCKENTUCKY

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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