Organization
VINCENT CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY DEAN VINCENT D.C. (CHIROPRACTOR)
(270) 526-4613
Entity
Organization
Contact information
Practice address
105 N. TYLER ST, MORGANTOWN, KY 42261
(270) 526-4613
Mailing address
PO BOX 157, MORGANTOWN, KY 42261-0157
(270) 526-4613
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4554
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85000123
—
KY
Enumeration date
01/24/2007
Last updated
08/22/2020
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