Organization
TAYLOR COUNTY CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNA L GRESHAM DC (OWNER)
(270) 465-5200
Entity
Organization
Contact information
Practice address
100 GREENBRIAR DR, CAMPBELLSVILLE, KY 42718-9613
(270) 465-5200
Mailing address
100 GREENBRIAR DR, CAMPBELLSVILLE, KY 42718-9613
(270) 465-5200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5035
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000503977
ANTHEM BCBS KY
KY
01
—
612101900
DEPT. OF LABOR
KY
Enumeration date
01/08/2007
Last updated
03/24/2010
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