Organization
KC CHIROPRACTIC MANAGEMENT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH J CLARE JR. D.C. (OWNER)
(859) 246-0001
Entity
Organization
Contact information
Practice address
1165 E NEW CIRCLE RD, LEXINGTON, KY 40505-4150
(859) 246-0001
(859) 246-0001
Mailing address
1165 E NEW CIRCLE RD, LEXINGTON, KY 40505-4150
(859) 246-0001
(859) 246-0001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000563409
ANTHEM
—
01
—
009001044
CIGNA PPO ID
—
01
—
01469001
MEDICARE PIN INDIVIDUAL
KY
01
—
5553328
AETNA
—
05
—
7100050530
—
KY
01
—
9156056
MULTIPLAN/PHCS
—
Enumeration date
03/18/2008
Last updated
11/10/2010
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