Organization
D PATRICK BROCK PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD PATRICK BROCK D.C. (PRESIDENT)
(606) 528-8659
Entity
Organization
Contact information
Practice address
1015 MASTER ST, CORBIN, KY 40701-1065
(606) 528-8659
(606) 528-8639
Mailing address
1015 MASTER ST, CORBIN, KY 40701-1065
(606) 528-8659
(606) 528-8639
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4316
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0957401
MEDICARE INDIVIDUAL PROVIDER NUMBER
—
Enumeration date
06/25/2007
Last updated
05/09/2013
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