Individual
DR. DARRYL R GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3198 CUSTER DR STE 100, SOUTHSIDE CHIROPRACTIC PSC, LEXINGTON, KY 40517-4000
(859) 373-0800
(859) 255-4104
Mailing address
3198 CUSTER DR STE 100, SOUTHSIDE CHIROPRACTIC PSC, LEXINGTON, KY 40517-4000
(859) 373-0800
(859) 255-4104
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4626
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000209773
BCBS
KY
05
—
85002269
—
KY
Enumeration date
10/17/2006
Last updated
05/31/2016
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