Organization
TRG INVESTMENTS LLC
Active
Other names
Western Kentucky Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA VARONA RATUSNY (OFFICE MANAGER)
(270) 904-3499
Entity
Organization
Contact information
Practice address
1256 CAMPBELL LN, SUITE 103, BOWLING GREEN, KY 42104-1082
(270) 904-3499
(270) 904-3472
Mailing address
1256 CAMPBELL LN, SUITE 103, BOWLING GREEN, KY 42104-1082
(270) 904-3499
(270) 904-3472
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4813
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000390128
ANTHEM BLUE CROSS BLUE SHIELD
KY
01
—
6103101
MEDICARE INDIVIDUAL
KY
05
—
85002806
—
KY
01
—
8889
MEDICARE GROUP
KY
Enumeration date
03/18/2009
Last updated
03/18/2009
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