Individual
KODY TRIVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 N CAROL MALONE BLVD STE B, GRAYSON, KY 41143-1126
(606) 618-9600
Mailing address
710 N CAROL MALONE BLVD STE B, GRAYSON, KY 41143-1126
(606) 618-9600
(606) 393-0902
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
271956
KY
Other
Enumeration date
07/12/2021
Last updated
08/04/2021
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