PRIMARY CARE CHIROPRACTIC PSC NPI 1104962596

NPI Information

  • NPI: 1104962596
  • Provider Name: PRIMARY CARE CHIROPRACTIC, PSC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 1011 PARIS RD STE 341
    MAYFIELD, KY
    ZIP 42066
  • Phone: (270) 251-0907

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NPI Details

PRIMARY CARE CHIROPRACTIC, PSC is a chiropractor in Mayfield, 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. PRIMARY CARE CHIROPRACTIC, PSC NPI is 1104962596. The provider is registered as an organization entity type.

The provider's business location address is:

1011 PARIS RD STE 341
MAYFIELD, KY
ZIP 42066-306
Phone: (270) 251-0907
Fax: (270) 251-0908

The provider's authorized official is Daniel Richard Farr .
The authorized official title is President and has the following contact phone number (270) 251-0907.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 10/19/2012.

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
1332B00000XDurable Medical Equipment & Medical Supplies4685KENTUCKYNo
2111N00000XChiropractor4685KENTUCKYYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1TB73OTHERKENTUCKYXPIN
2U89676MEDICARE UPINKENTUCKY
37051MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
4000000216652OTHERKENTUCKYANTHEM BCBS
55428010001MEDICARE 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: 11/21/2025

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