Individual
CARRIE A NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
8117 NEW LA GRANGE RD, LOUISVILLE, KY 40222-4637
(502) 326-9950
(502) 326-9952
Mailing address
8117 NEW LA GRANGE RD, LOUISVILLE, KY 40222-4637
(502) 326-9950
(502) 326-9952
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3387
SC
111N00000X
Chiropractor
Primary
5381
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100237860
—
KY
Enumeration date
05/06/2009
Last updated
06/13/2013
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