Organization
MCCRACKEN COUNTY CHIROPRACTIC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E ATNIP D.C. (C.E.O.)
(270) 444-7111
Entity
Organization
Contact information
Practice address
2731 JACKSON ST, PADUCAH, KY 42003-3855
(270) 444-7111
(270) 444-7122
Mailing address
2731 JACKSON ST, PADUCAH, KY 42003-3855
(270) 444-7111
(270) 444-7122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4624
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85900371
—
KY
01
—
DB0778
GROUP RAILRAOD MEDICARE
KY
01
—
K041871
GROUP PTAN
KY
Enumeration date
01/23/2007
Last updated
09/09/2022
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