Individual
DR. CLARK MANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3650 BOSTON RD STE 188, LEXINGTON, KY 40514-1502
(859) 263-2774
(859) 263-2787
Mailing address
3650 BOSTON RD STE 188, LEXINGTON, KY 40514-1502
(859) 263-2774
(502) 867-0560
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
205570
KY
111N00000X
Chiropractor
4345
KY
Other
Enumeration date
12/01/2014
Last updated
11/24/2021
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