Individual
GREGORY R COLOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9549 TAYLORSVILLE RD, LOUISVILLE, KY 40299-2734
(502) 261-0713
(502) 261-0771
Mailing address
9549 TAYLORSVILLE RD, LOUISVILLE, KY 40299-2734
(502) 261-0713
(502) 261-0771
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4656
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000356981
ANTHEM
KY
01
—
201794428
PHCS
—
Enumeration date
07/27/2005
Last updated
07/09/2020
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