Organization
BILLY D. GRANT, D.C., PSC
Active
Other names
HealthSource/Billy D. Grant, D.C., PSC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILLY D GRANT D.C. (OWNER/PRACTIONER)
(270) 885-2351
Entity
Organization
Contact information
Practice address
1222 SKYLINE DR STE A&B, HOPKINSVILLE, KY 42240-4968
(270) 885-2366
(270) 885-2356
Mailing address
1222 SKYLINE DRIVE, SUITE A & B, HOPKINSVILLE, KY 42240
(270) 885-2366
(270) 885-2356
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215455
BLUE CROSS BLUE SHIELD
KY
05
—
85900165
—
KY
Enumeration date
03/22/2007
Last updated
08/04/2010
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