Organization
BLUEGRASS FAMILY CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEYTON P CHILDERS D.C. (OWNER)
(606) 886-1416
Entity
Organization
Contact information
Practice address
BLUEGRASS FAMILY CHIROPRACTIC PLLC, 30 S LAKE DR, PRESTONSBURG, KY 41653
(606) 886-1416
(606) 886-8849
Mailing address
530 S LAKE DRIVE, PRESTONSBURG, KY 41653
(606) 886-1416
(606) 886-8849
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5463
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100389560
—
KY
Enumeration date
04/14/2017
Last updated
11/14/2022
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