Individual
DR. MACKENZIE SIPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
401 CREASON CT UNIT 205, LOUISVILLE, KY 40223
(270) 410-0191
Mailing address
401 CREASON CT UNIT 205, LOUISVILLE, KY 40223-6137
(270) 410-0191
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0000002877
TN
111N00000X
Chiropractor
Primary
5524
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K233960
—
KY
Enumeration date
03/17/2016
Last updated
07/25/2018
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