Individual
MR. DAVE JAY COYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
222 S 1ST ST, 102, LOUISVILLE, KY 40202-5404
(619) 723-1540
Mailing address
401 SHELDON AVE, COLUMBUS, OH 43207-1257
(619) 723-1540
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
65.000205
OH
171100000X
Acupuncturist
Primary
TAC56
KY
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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