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Individual

MATTHEW BRENT RORIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
108 OSBORNE WAY, SUITE 6, GEORGETOWN, KY 40324-9693
(502) 867-0073
(502) 867-0560
Mailing address
3738 SOLUTIONS CTR, #773738, CHICAGO, IL 60677-0001
(606) 326-0347
(630) 701-1007

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5233
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100128310
KY
Enumeration date
06/02/2010
Last updated
08/11/2011
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