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Contact Information

BLUEGRASS FAMILY CHIROPRACTIC PLLC
BLUEGRASS FAMILY CHIROPRACTIC PLLC
30 S LAKE DR
PRESTONSBURG, KY41653
 Phone: 606-886-1416
 Fax: 606-886-8849
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BLUEGRASS FAMILY CHIROPRACTIC PLLC

NPI Number 1780118877
LBN Legal business name BLUEGRASS FAMILY CHIROPRACTIC PLLC
Authorized official LEYTON CHILDERS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/14/2017
Last updated 11/14/2022 - About 4 years ago
Identifiers
KY License # 5463
KY Medicaid 7100389560
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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