Organization
MILL POND FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN PEARCE D.C. (OWNER)
(859) 219-0617
Entity
Organization
Contact information
Practice address
3650 BOSTON RD, SUITE E, LEXINGTON, KY 40514-1569
(859) 219-0617
Mailing address
3051 KIRKLEVINGTON DR, 173, LEXINGTON, KY 40517-2422
(925) 487-0253
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5298
KY
Other
Enumeration date
12/06/2011
Last updated
03/27/2012
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