Organization
PRUDENTIAL CHIROPRACTIC MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS E CLAUSE (PRESIDENT)
(502) 804-3344
Entity
Organization
Contact information
Practice address
3411 BARDSTOWN RD STE 101, LOUISVILLE, KY 40218-4612
(502) 804-3344
Mailing address
3411 BARDSTOWN RD STE 101, LOUISVILLE, KY 40218-4612
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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