Organization
RODERICK D COXON D C P S C
Active
Other names
COXON CHIROPRACTIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODERICK D COXON DC (OWNER)
(270) 699-2323
Entity
Organization
Contact information
Practice address
116 LEBANON TRADE CENTER DR, LEBANON, KY 40033-1821
(270) 699-2323
(270) 699-2323
Mailing address
116 LEBANON TRADE CENTER DR, LEBANON, KY 40033-1821
(270) 699-2323
(270) 699-2323
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
4454
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85000297
—
KY
Enumeration date
03/02/2015
Last updated
03/24/2015
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