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Organization

BRADLEY A. TACK P.S.C.

Active
Other names
Calvert City Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRADLEY A. TACK D.C. (OWNER)
(270) 395-4540
Entity
Organization

Contact information

Practice address
5131 US HIGHWAY 62, CALVERT CITY, KY 42029-8390
(270) 395-4540
(270) 395-7715
Mailing address
5131 US HIGHWAY 62, CALVERT CITY, KY 42029-8390
(270) 395-4540
(270) 395-7715

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85900181
KY
Enumeration date
01/19/2007
Last updated
08/22/2020
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