Individual
DR. BRUCE FREDERICK CUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4824 N MAIN ST, EMINENCE, KY 40019-1018
(502) 845-5482
(502) 845-5149
Mailing address
4824 N MAIN ST, P.O. BOX 133, EMINENCE, KY 40019-1018
(502) 845-5482
(502) 845-5149
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4096
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100149320
—
KY
Enumeration date
02/12/2007
Last updated
04/08/2014
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