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Individual

CRAIG W PFEFFER CH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
10131 TAYLORSVILLE RD, JEFFERSONTOWN, KY 40299-3649
(502) 267-6444
(502) 267-6445
Mailing address
10131 TAYLORSVILLE RD, JEFFERSONTOWN, KY 40299-3649
(502) 267-6444
(502) 267-6445

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3812
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000069294
ANTHEM
KY
01
1116809
PASSPORT
KY
05
85036549
KY
Enumeration date
12/14/2007
Last updated
01/18/2008
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