18D2142335 CLIA NUMBER - SMITH CHIROPRACTIC, PSC

Laboratory Demographics

CLIA Number: 18D2142335

Facility Name: SMITH CHIROPRACTIC, PSC

Facility Address:
1104 NORTH MAIN STREET
MONTICELLO, KY
ZIP 42633
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Facility Phone Number: 606 340-0340

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1598876815

Taxonomy: 111N00000X - Chiropractor
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.

CLIA Record

Field Name Field Value
CLIA Number 18D2142335
LAB Type Practitioner Other
Facility Name SMITH CHIROPRACTIC, PSC
Street 1104 NORTH MAIN STREET
City MONTICELLO
State KY
ZIP 42633
Phone 606 340-0340
CertificateType 4
CertificateEffectiveDate 9/22/2023
CertificateExpirationDate 9/21/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024