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Organization
CHIROPRACTIC MEDICAL KY PAIN RELIEF CENTER
Active
Organization
CHIROPRACTIC MEDICAL KY PAIN RELIEF CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL FORLENZA JR. D.C. (PRESIDENT)
(859) 291-5775
Entity
Organization
Contact information
Practice address
525 W 5TH ST, SUITE 320, COVINGTON, KY 41011-1259
(859) 291-5775
(859) 291-5774
Mailing address
PO BOX 176385, COVINGTON, KY 41017-6385
(859) 291-5775
(859) 291-5774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4063
KY
208D00000X
General Practice Physician
Primary
28974
KY
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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