Organization
CHIROPRACTIC MEDICAL KY PAIN RELIEF CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL FORLENZA JR. D.C. (PRESIDENT)
(859) 291-5775
Entity
Organization
Contact information
Practice address
525 W 5TH ST, SUITE 320, COVINGTON, KY 41011-1259
(859) 291-5775
(859) 291-5774
Mailing address
PO BOX 176385, COVINGTON, KY 41017-6385
(859) 291-5775
(859) 291-5774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4063
KY
208D00000X
General Practice Physician
Primary
28974
KY
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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