Organization
HEARTLAND FAMILY CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM THOMAS FULKERSON D.C. (OWNER)
(270) 234-8880
Entity
Organization
Contact information
Practice address
1606 N DIXIE HWY STE 111, ELIZABETHTOWN, KY 42701-5572
(270) 234-8880
(270) 234-1343
Mailing address
1606 N DIXIE HWY, STE 111, ELIZABETHTOWN, KY 42701-5565
(270) 234-8880
(270) 234-1343
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4563
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85003002
—
KY
Enumeration date
01/29/2008
Last updated
05/01/2014
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