Organization
STATOM CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M STATOM DC (OWNER)
(502) 822-1668
Entity
Organization
Contact information
Practice address
2210 MEADOW DR, SUITE 5, LOUISVILLE, KY 40218-1323
(502) 822-1668
(844) 295-2789
Mailing address
2210 MEADOW DR, SUITE 5, LOUISVILLE, KY 40218-1323
(502) 822-1668
(844) 295-2789
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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