Provider Demographics
NPI:1043352065
Name:FREILINGER, KURT M (DC)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:M
Last Name:FREILINGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:NA
Other - Middle Name:NA
Other - Last Name:NA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3265 TAYLOR BLVD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40215-2662
Mailing Address - Country:US
Mailing Address - Phone:502-380-0403
Mailing Address - Fax:502-380-9079
Practice Address - Street 1:3265 TAYLOR BLVD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40215-2662
Practice Address - Country:US
Practice Address - Phone:502-380-0403
Practice Address - Fax:502-380-9079
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4575111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor