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Individual

DR. ERIC PUTTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
260 BURLEY AVE., HOPKINSVILLE, KY 42240
(270) 886-0068
(270) 890-6068
Mailing address
260 BURLEY AVE, HOPKINSVILLE, KY 42240-8725
(270) 886-0068
(270) 890-6068

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4610
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000188786
ANTHEM BCBS
KY
01
350055887
RAILROAD MEDICARE
KY
01
601626
WELLCARE
KY
05
85002541
KY
Enumeration date
11/01/2006
Last updated
07/17/2013
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