Organization
GRAHAM CHIROPRACTIC ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS W GRAHAM D.C. (OWNER)
(859) 283-1777
Entity
Organization
Contact information
Practice address
6900 HOUSTON RD, SUITE 17, FLORENCE, KY 41042
(859) 283-1777
(859) 283-1703
Mailing address
6900 HOUSTON RD, SUITE 17, FLORENCE, KY 41042
(859) 283-1777
(859) 283-1703
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4583
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000112736
BLUE CROSS BLUE SHIELD
—
01
—
2766DC
HUMANA
—
01
—
4400452
UNITED HEALTHCARE
—
05
—
85000651
—
KY
Enumeration date
01/17/2007
Last updated
08/22/2020
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