Individual
LARRY DEAN VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
302 MEDICAL PLZ, GREENVILLE, KY 42345-1220
(270) 338-3348
(270) 338-3992
Mailing address
302 MEDICAL PLZ, GREENVILLE, KY 42345-1220
(270) 338-3348
(270) 338-3992
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4554
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85000123
—
KY
Enumeration date
09/25/2006
Last updated
07/08/2007
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