Organization
GABLE CHIROPRACTIC, PSC
Active
Other names
West Port Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL ALLAN WHEELER DC (CHIROPRACTOR)
(502) 326-5000
Entity
Organization
Contact information
Practice address
9407 WESTPORT RD, SUITE 110, LOUISVILLE, KY 40241-2299
(502) 326-5000
(502) 326-5054
Mailing address
9425 WESTPORT ROAD, LOUISVILLE, KY 40241-2219
(502) 326-5000
(502) 326-9730
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4773
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1C 9371
MEDICARE
KY
Enumeration date
12/04/2006
Last updated
06/30/2011
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