Organization
BEACON OF LIGHT FAMILY CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON STUART TAYLOR (OWNER/CHIROPRACTOR)
(606) 302-4011
Entity
Organization
Contact information
Practice address
311 N 12TH ST, MIDDLESBORO, KY 40965-1135
(606) 302-4011
(606) 302-4085
Mailing address
311 N 12TH ST, MIDDLESBORO, KY 40965-1135
(606) 302-4011
(606) 302-4085
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4890
KY
111N00000X
Chiropractor
Primary
4914
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245046457
NPI
KY
01
—
1538686134
NPI
KY
05
—
7100183000
—
KY
05
—
7100187940
—
KY
Enumeration date
02/20/2014
Last updated
06/10/2025
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