Organization
PRIMARY CARE CHIROPRACTIC, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL RICHARD FARR DC (PRESIDENT)
(270) 251-0907
Entity
Organization
Contact information
Practice address
1011 PARIS RD STE 341, MAYFIELD, KY 42066-3306
(270) 251-0907
(270) 251-0908
Mailing address
1011 PARIS RD STE 341, MAYFIELD, KY 42066-3306
(270) 251-0907
(270) 251-0908
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4685
KY
332B00000X
Durable Medical Equipment & Medical Supplies
4685
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000216652
ANTHEM BCBS
KY
01
—
TB73
XPIN
KY
Enumeration date
01/30/2007
Last updated
10/19/2012
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