Individual
DR. DWAYNE BOYD EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
934 S MAIN ST, NICHOLASVILLE, KY 40356
(859) 881-4325
(859) 881-3897
Mailing address
934 S MAIN ST, NICHOLASVILLE, KY 40356
(859) 881-4325
(859) 881-3897
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
17124
CA
111N00000X
Chiropractor
Primary
4622
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000192741
ANTHEM
KY
05
—
85001782
—
KY
Enumeration date
11/28/2006
Last updated
07/07/2014
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