Organization
SHIVELY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN DAVID ANDERSON DC (PROVIDER)
(502) 365-3701
Entity
Organization
Contact information
Practice address
3934 DIXIE HWY STE 345, LOUISVILLE, KY 40216
(502) 365-3701
(502) 205-9955
Mailing address
3934 DIXIE HWY STE 345, LOUISVILLE, KY 40216-4100
(502) 365-3701
(502) 205-9955
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4679
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100497680
—
KY
Enumeration date
11/09/2016
Last updated
05/30/2018
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