Organization
CHIROPRACTIC REHABILITATION & INJURY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL KENT CLARK DC (OWNER)
(270) 534-0920
Entity
Organization
Contact information
Practice address
2402 NEW HOLT RD, PADUCAH, KY 42001-7455
(270) 534-0920
(270) 534-4024
Mailing address
2402 NEW HOLT RD, PADUCAH, KY 42001-7455
(270) 534-0920
(270) 534-4024
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4905
KY
Other
Enumeration date
02/15/2007
Last updated
10/20/2010
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