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Organization

DMAC, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA M COLE DC (PRESIDENT)
(502) 647-4600
Entity
Organization

Contact information

Practice address
30 STONECREST CT, STE. 102, SHELBYVILLE, KY 40065-8128
(502) 647-4600
(502) 647-4607
Mailing address
30 STONECREST CT, STE 102, SHELBYVILLE, KY 40065-8128
(502) 647-4600
(502) 647-4607

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4469
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1548282742
INDIVIDUAL NPI NUMBER
KY
Enumeration date
05/22/2007
Last updated
06/28/2011
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