Organization
CUPP CHIROPRACTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE FREDERICK CUPP D.C. (PRESIDENT)
(502) 845-5482
Entity
Organization
Contact information
Practice address
4824 N MAIN ST, EMINENCE, KY 40019-1018
(502) 845-5482
(502) 845-5149
Mailing address
4824 N MAIN ST, PO BOX 133, EMINENCE, KY 40019-1018
(502) 845-5482
(502) 845-5149
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4096
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100149320
—
KY
Enumeration date
02/09/2007
Last updated
04/21/2014
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