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Individual

MATTHEW MICHAEL TRUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
262 EAST STEVE WARINER DR, RUSSELL SPRINGS, KY 42642
(270) 866-7246
(270) 866-7266
Mailing address
262 EAST STEVE WARINER DR, RUSSELL SPRINGS, KY 42642
(270) 866-7246
(270) 866-7266

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4917
KY
111NP0017X
Pediatric Chiropractor
4917
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85003648
KY
Enumeration date
08/14/2006
Last updated
02/21/2014
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