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Individual

JAMES MCMINNUS KINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
258 S MAIN ST, MADISONVILLE, KY 42431-2558
(270) 825-4100
(270) 825-4960
Mailing address
258 S MAIN ST, MADISONVILLE, KY 42431-2558
(270) 825-4100
(270) 825-4960

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1133
SC
111N00000X
Chiropractor
1262
AR
111N00000X
Chiropractor
Primary
4180
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000051857
ANTHEM BLUE CROSS
KY
01
350042997
RAILROAD MEDICARE
Enumeration date
10/17/2005
Last updated
08/27/2013
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