Individual
DR. MARK E ATNIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2731 JACKSON ST, PADUCAH, KY 42003-3855
(270) 444-7111
(270) 444-7122
Mailing address
2731 JACKSON ST, PADUCAH, KY 42003-3855
(270) 444-7111
(270) 444-7122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4624
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000318314
ANTHEM PIN
KY
05
—
85001402
—
KY
01
—
85900371
MEDICAID GROUP
KY
01
—
DB0778
RR MEDICARE GROUP
KY
01
—
P00085622
RR MEDICARE
KY
Enumeration date
04/10/2008
Last updated
06/17/2021
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