Organization
KUPERUS FAMILY CHIROPRACTIC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHAEL A KUPERUS DC (PRESIDENT)
(502) 426-6715
Entity
Organization
Contact information
Practice address
105 LYNDON LN, SUITE 102, LOUISVILLE, KY 40222-5550
(502) 426-6715
(502) 426-6716
Mailing address
105 LYNDON LN, SUITE 102, LOUISVILLE, KY 40222-5550
(502) 426-6715
(502) 426-6716
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5228
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200977090
—
IN
05
—
7100131790
—
KY
Enumeration date
06/28/2012
Last updated
06/28/2012
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