Individual
DR. MARK EDWIN CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2491 DIXIE HWY, FORT MITCHELL, KY 41017-3056
(859) 331-5400
(859) 331-5400
Mailing address
2491 DIXIE HWY, FORT MITCHELL, KY 41017-3056
(859) 331-5400
(859) 331-5400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4429
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85044295
—
KY
Enumeration date
12/03/2007
Last updated
03/11/2019
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