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Individual

DR. GARY D. CALLIONI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
618 BUTTERMILK PIKE, CRESCENT SPRINGS, KY 41017-1381
(859) 331-9566
Mailing address
618 BUTTERMILK PIKE, CRESCENT SPRINGS, KY 41017-1381
(859) 331-9566

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4038
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000032625
BLUE CROSS BLUE SHIELD
KY
05
85000925
KY
Enumeration date
07/20/2006
Last updated
07/09/2007
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