Individual
DR. CLYDE D HARMON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
327 CHESTNUT ST, SUITE#1, BEREA, KY 40403-1921
(859) 986-5636
(859) 986-9124
Mailing address
116 HANSON ST, BEREA, KY 40403-1615
(859) 986-5636
(859) 986-9124
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4157
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85002053
—
KY
Enumeration date
02/24/2008
Last updated
02/24/2008
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