Organization
WALDEN CHIROPRACTIC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALAN WALDEN DC (DOCTOR OF CHIROPRACTIC)
(502) 585-5400
Entity
Organization
Contact information
Practice address
1072 BARDSTOWN ROAD, LOUISVILLE, KY 40204
(502) 585-5400
(502) 585-9592
Mailing address
1072 BARDSTOWN ROAD, LOUISVILLE, KY 40204
(502) 585-5400
(502) 585-9592
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4412
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000390322
ANTHEM
KY
05
—
50010510
—
KY
05
—
85000743
—
KY
Enumeration date
01/17/2007
Last updated
11/19/2007
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