Individual
DR. MOSEN RASHID KHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10701 W. MANSLICK RD., FAIRDALE, KY 40118
(502) 367-2112
(502) 367-7799
Mailing address
10701 W. MANSLICK RD., FAIRDALE, KY 40118
(502) 367-2112
(502) 367-7799
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
20358
CA
111N00000X
Chiropractor
Primary
4056
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000108879
ANTHEM
KY
01
—
1150524
PASSPORT MEDICAID
KY
05
—
85001568
—
KY
Enumeration date
12/04/2006
Last updated
03/11/2014
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