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Organization

PHAUP CHIROPRACTIC CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMBER LONG (OFFICE MANAGER)
(270) 452-2187
Entity
Organization

Contact information

Practice address
1015 COLLEGE DR, MADISONVILLE, KY 42431-9189
(270) 452-2187
Mailing address
1015 COLLEGE DR, MADISONVILLE, KY 42431-9189
(270) 452-2187

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5477
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1578935920
INDIVIDUAL NPI
KY
Enumeration date
01/08/2018
Last updated
05/26/2021
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