Organization
BENTON CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY LEIBLE DC (OWNER)
(270) 527-2007
Entity
Organization
Contact information
Practice address
141 COMMERCE BLVD, BENTON, KY 42025
(270) 527-2007
(270) 527-8324
Mailing address
141 COMMERCE BLVD, BENTON, KY 42025
(270) 527-2007
(270) 527-8324
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5322
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100244920
—
KY
Enumeration date
07/31/2009
Last updated
11/04/2019
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