Organization
LEBANON CHIROPRACTIC, PLLC
Active
Other names
Jeffrey A. Roberts, D.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ROBERTS D.C. (SOLE MEMBER)
(270) 692-6555
Entity
Organization
Contact information
Practice address
496 W MAIN ST, LEBANON, KY 40033-1362
(270) 692-6555
(270) 692-5751
Mailing address
496 W MAIN ST, LEBANON, KY 40033-1362
(270) 692-6555
(270) 692-5751
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4427
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051836
ANTHEM
KY
Enumeration date
01/20/2017
Last updated
01/20/2017
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