Individual
DONALD PATRICK BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
505 MASTER ST, CORBIN, KY 40701
(606) 528-8659
(606) 528-8639
Mailing address
505 MASTER ST, CORBIN, KY 40701
(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
—
000000275308
ANTHEM BCBS
—
01
—
1171395
CHA
—
05
—
85036630
—
KY
Enumeration date
10/03/2006
Last updated
05/10/2013
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