Provider Demographics
NPI:1235181397
Name:LOUGHNEY, DELWYN BRUCE (DC)
Entity Type:Individual
Prefix:
First Name:DELWYN
Middle Name:BRUCE
Last Name:LOUGHNEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1113 LINCOLN PARK RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:40069-9573
Mailing Address - Country:US
Mailing Address - Phone:859-336-7000
Mailing Address - Fax:859-336-9882
Practice Address - Street 1:1113 LINCOLN PARK RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:KY
Practice Address - Zip Code:40069-9573
Practice Address - Country:US
Practice Address - Phone:859-336-7000
Practice Address - Fax:859-336-9882
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5283111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY50065431Medicaid
KY50065431Medicaid