Individual
STEPHEN BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7410 NEW LAGRANGE ROAD, SUITE 304, LOUISVILLE, KY 40222
(502) 426-1330
(502) 426-1337
Mailing address
7410 NEW LA GRANGE RD, STE 304, LOUISVILLE, KY 40222-4871
(502) 426-1330
(502) 426-1337
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4471
KY
Other
Enumeration date
08/30/2006
Last updated
05/10/2017
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