Individual
MARY JUNE FISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMC
Contact information
Practice address
750 LOGAN ST, LOUISVILLE, KY 40204-1852
(502) 632-1427
Mailing address
750 LOGAN ST, LOUISVILLE, KY 40204-1852
(502) 632-1427
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
KY4215
KY
Other
Enumeration date
11/11/2011
Last updated
11/11/2011
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