Organization
RUSSELLVILLE CHIROPRACTIC, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALAN POE D.C. (OWNER)
(270) 726-4600
Entity
Organization
Contact information
Practice address
909 WEST NINTH STREET, SUITE A, RUSSELLVILLE, KY 42276-9764
(270) 726-4600
(270) 726-4604
Mailing address
909 WEST NINTH STREET, SUITE A, RUSSELLVILLE, KY 42276-9764
(270) 726-4600
(270) 726-4604
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4373
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100338120
—
KY
05
—
85043735
—
KY
Enumeration date
12/19/2007
Last updated
03/30/2020
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