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Organization

TAYLORSVILLE CHIROPRACTIC, INC

Active
Other names
St. Matthews Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN J. WADLE D.C. (CHIROPRACTOR)
(502) 477-5000
Entity
Organization

Contact information

Practice address
101 SETTLERS CENTER RD, TAYLORSVILLE, KY 40071-7732
(502) 477-5000
Mailing address
3933 MASSIE AVE, LOUISVILLE, KY 40207-2730
(502) 896-4266

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
KY4328
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1065686
PASSPORT
KY
01
1245226992
NPI-INDIVIDUAL
KY
05
85043289
KY
Enumeration date
03/29/2007
Last updated
11/14/2007
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