Individual
HEATH GALLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
131 PROSPEROUS PL, SUITE 15, LEXINGTON, KY 40509-1853
(859) 264-1140
(859) 245-1190
Mailing address
131 PROSPEROUS PL, SUITE 15, LEXINGTON, KY 40509-1853
(859) 264-1140
(859) 245-1190
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4846
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000352212
BLUE CROSS BLUE SHIELD
KY
01
—
26-4779453
CHA
KY
01
—
3416485
AETNA HMO
KY
01
—
664708
UNITED HEALTHCARE ACN
KY
01
—
770498
AETNA
KY
01
—
7764195
CIGNA
KY
05
—
85002970
—
KY
Enumeration date
03/05/2007
Last updated
12/03/2014
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