Organization
FUNCTIONAL IMAGING AND ASSESSMENT OF KENTUCKY PSC
Active
Other names
Functional Imaging of Kentucky
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG A. MUELLER D.C. (DIRECTOR)
(502) 897-5181
Entity
Organization
Contact information
Practice address
1015 DUPONT RD., LOUISVILLE, KY 40207-4610
(502) 897-5181
(502) 897-5122
Mailing address
1015 DUPONT RD, LOUISVILLE, KY 40207-4610
(502) 897-5181
(502) 897-5122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3754
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000203972
ANTHEM BLUE CROSS BLUE SH
KY
Enumeration date
09/28/2006
Last updated
12/30/2014
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