# CHIROPRACTIC MEDICAL KY PAIN RELIEF CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629345277
- **Authorized official:** DR. SAMUEL FORLENZA JR. D.C. (PRESIDENT)
- **Authorized official phone:** (859) 291-5775

## Contact information

- **Practice address:** 525 W 5TH ST, SUITE 320, COVINGTON, KY 41011-1259
- **Practice address phone:** (859) 291-5775
- **Practice address fax:** (859) 291-5774
- **Mailing address:** PO BOX 176385, COVINGTON, KY 41017-6385
- **Mailing address phone:** (859) 291-5775
- **Mailing address fax:** (859) 291-5774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4063 | KY | — |
| 208D00000X | General Practice Physician | 28974 | KY | Yes |

## Other

- **Enumeration date:** 11/28/2011
- **Last updated:** 11/28/2011