# ALABAMA VALLEY CHIROPRACTIC INC

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

## Provider details

- **NPI number:** 1780742122
- **Authorized official:** MR. KENNY LEE ELDRED DC (DOCTOR OWNER)
- **Authorized official phone:** (256) 232-1935

## Contact information

- **Practice address:** 302 CRESTVIEW ST, ATHENS, AL 35611
- **Practice address phone:** (256) 232-1935
- **Practice address fax:** (256) 232-7528
- **Mailing address:** 302 CRESTVIEW ST, ATHENS, AL 35611
- **Mailing address phone:** (256) 232-1935
- **Mailing address fax:** (256) 232-7528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 0496 | AL | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 08/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 97224 | BCBS | AL |