Organization
KENTUCKY INJURY CARE CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL FORLENZA JR. DC (OWNER)
(859) 393-5905
Entity
Organization
Contact information
Practice address
4640 DIXIE HWY, LOUISVILLE, KY 40216-2606
(502) 482-3007
(859) 647-2349
Mailing address
PO BOX 558, UNION, KY 41091-0558
(502) 482-3007
(859) 647-2349
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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