Individual
DR. KEN CHILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6013 PRESTON HWY, LOUISVILLE, KY 40219-1317
(502) 964-6909
(502) 671-8621
Mailing address
6013 PRESTON HWY, LOUISVILLE, KY 40219-1317
(502) 964-6909
(502) 671-8621
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4873
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000393348
ANTHEM
KY
Enumeration date
12/05/2006
Last updated
07/08/2007
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