Organization
PEACOCK FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE DOUGLASS PEACOCK D.C. (DOCTOR OF CHIROPRACTIC / OWNER)
(815) 222-1097
Entity
Organization
Contact information
Practice address
11773 COMMERCIAL DR, FISHERS, IN 46038-2904
(815) 222-1097
Mailing address
11773 COMMERCIAL DR, FISHERS, IN 46038-2904
(815) 222-1097
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002740A
IN
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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