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Individual

DR. ZACHARY LEIBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
141 COMMERCE BLVD, BENTON, KY 42025
(270) 527-2007
(270) 527-8324
Mailing address
141 COMMERCE BLVD, BENTON, KY 42025-1216
(270) 527-2007
(270) 527-8324

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
249463
KY
111N00000X
Chiropractor
5322
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100244920
KY
Enumeration date
01/23/2012
Last updated
11/01/2019
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