Individual
DR. JASON W RUNYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2412 ARGILLITE RD, FLATWOODS, KY 41139-1996
(606) 833-9355
(606) 833-1895
Mailing address
PO BOX 741, ASHLAND, KY 41105-0741
(606) 833-9355
(606) 833-1895
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4816
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000336562
BLUE CROSS BLUE SHIELD
KY
05
—
2634242
—
OH
05
—
85003416
—
KY
Enumeration date
02/16/2007
Last updated
07/23/2015
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