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Organization

BURNSIDE CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEWIS MARTIN MISINAY D.C. (DOCTOR/OWNER)
(606) 561-4357
Entity
Organization

Contact information

Practice address
8034 S HIGHWAY 27, BURNSIDE, KY 42519-9717
(606) 561-4357
(775) 521-2427
Mailing address
8034 S HIGHWAY 27, P.O. BOX 178, BURNSIDE, KY 42519-9717
(606) 561-4357
(775) 521-2427

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4652
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
227116
ANTHEM
KY
05
85002004
KY
Enumeration date
08/13/2008
Last updated
11/29/2017
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