Organization
EVANS CHIROPRACTIC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VENESSA RAE EVANS (ADMINISTRATOR)
(502) 459-4150
Entity
Organization
Contact information
Practice address
3071 BRECKENRIDGE LN, LOUISVILLE, KY 40220-2101
(502) 459-4150
(502) 459-4662
Mailing address
3071 BRECKENRIDGE LN, LOUISVILLE, KY 40220-2101
(502) 459-4150
(502) 459-4662
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4122
KY
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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