Organization
FERN VALLEY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA LYNN FROST (OWNER)
(502) 552-6083
Entity
Organization
Contact information
Practice address
5520 FERN VALLEY RD STE 111, LOUISVILLE, KY 40228-1089
(502) 552-6083
Mailing address
5520 FERN VALLEY RD STE 111, LOUISVILLE, KY 40228-1089
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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