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Individual

DR. CRAIG D MACKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
100 BAUGHMAN AVE., SUITE B, DANVILLE, KY 40422
(859) 238-9300
(859) 238-9977
Mailing address
PO BOX 356, DANVILLE, KY 40423-0356
(859) 238-9300
(859) 238-9977

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4129
KY
111NN1001X
Nutrition Chiropractor
Primary
4129
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000382972
ANTHEM BC/BS
KY
05
85000164
KY
Enumeration date
07/21/2006
Last updated
02/08/2021
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