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Individual

BARRY LEON PELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1132 WINCHESTER RD STE 125, LEXINGTON, KY 40505-4042
(859) 254-0059
(859) 254-1033
Mailing address
1132 WINCHESTER RD, SUITE 125, LEXINGTON, KY 40505-4042
(859) 254-0059
(859) 254-1033

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
250149
KY
111N00000X
Chiropractor
3973
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85000644
KY
Enumeration date
02/21/2007
Last updated
07/06/2022
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