Individual
DR. WILLIAM BLAKE MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
820 CHUCK GRAY CT., OWENSBORO, KY 42303-7362
(270) 685-5100
(270) 683-3100
Mailing address
820 CHUCK GRAY CT., OWENSBORO, KY 42303-7362
(270) 685-5100
(270) 683-3100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5158
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100197940
—
KY
01
—
K037050
MEDICARE
KY
Enumeration date
07/19/2011
Last updated
05/09/2016
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