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Contact Information

BEACON OF LIGHT FAMILY CHIROPRACTIC, PLLC
311 N 12TH ST
MIDDLESBORO, KY40965-1135
 Phone: 606-302-4011
 Fax: 606-302-4085
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BEACON OF LIGHT FAMILY CHIROPRACTIC PLLC · (Female)

NPI Number 1851716369
Status Active
Credentials
Entity Individual
Enumeration date 02/20/2014
Last updated 06/10/2025 - About 12 months ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 4890
  • KY License # 4914
  • KY Medicaid 7100183000
  • KY Medicaid 7100187940
  • KY Other 1245046457 NPI
  • KY Other 1538686134 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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