Organization
MAMMEN CHIROPRACTIC, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER P MAMMEN (OWNER)
(502) 689-3335
Entity
Organization
Contact information
Practice address
6917 SANDSTONE BLVD, LOUISVILLE, KY 40219
(502) 689-3335
Mailing address
6917 SANDSTONE BLVD, LOUISVILLE, KY 40219
(502) 689-3335
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4665
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85002608
—
KY
Enumeration date
05/11/2007
Last updated
03/27/2015
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