Individual
DR. BRIAN KEITH MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9811 BROWNSBORO RD, LOUISVILLE, KY 40241-5230
(502) 327-6000
(502) 327-6009
Mailing address
9811 BROWNSBORO RD, LOUISVILLE, KY 40241-5230
(502) 327-6000
(502) 327-6009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4785
KY
111NI0013X
Independent Medical Examiner Chiropractor
4785
KY
111NR0200X
Radiology Chiropractor
4785
KY
111NR0400X
Rehabilitation Chiropractor
4785
KY
111NX0100X
Occupational Health Chiropractor
4785
KY
171M00000X
Case Manager/Care Coordinator
4785
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000378306
ANTHEM BLUE CROSS BLUE SH
—
01
—
07815453
AETNA
—
01
—
11210338
CAQH
—
01
—
2448199000
PASSPORT ADVANTAGE
KY
01
—
50007024
PASSPORT
—
01
—
611414018
HUMANA
—
01
—
6114140180003
CIGNA HEALTH CARE
—
01
—
611414018B
HUMANA
—
01
—
653884
BLUEGRASS FAMILY HEALTH
—
05
—
85003135
—
KY
Enumeration date
01/02/2007
Last updated
01/12/2015
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