Individual
BRYCE CHANNING FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2417 NICHOLASVILLE RD STE 114, LEXINGTON, KY 40503-3178
(859) 278-5800
Mailing address
2417 NICHOLASVILLE RD STE 114, LEXINGTON, KY 40503-3178
(859) 278-5800
(859) 568-5510
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
263699
KY
Other
Enumeration date
09/11/2020
Last updated
06/08/2023
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