Organization
PEDERSEN CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRENT L. PEDERSEN DC (CHIROPRACTOR)
(859) 858-0200
Entity
Organization
Contact information
Practice address
405 N LEXINGTON AVE, WILMORE, KY 40390-1195
(859) 858-0200
(859) 858-0092
Mailing address
405 N LEXINGTON AVE, WILMORE, KY 40390-1195
(859) 858-0200
(859) 858-0092
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5217
KY
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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