Provider Demographics
NPI:1235269747
Name:DAY, RONALD ALLEN (DC)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:ALLEN
Last Name:DAY
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 1:7439 THIRD STREET ROAD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40214-4366
Mailing Address - Country:US
Mailing Address - Phone:502-363-2473
Mailing Address - Fax:502-363-2473
Practice Address - Street 1:7439 THIRD STREET ROAD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40214-4366
Practice Address - Country:US
Practice Address - Phone:502-363-2473
Practice Address - Fax:502-363-2473
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3889111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
6051001Medicare ID - Type Unspecified
KYT54496Medicare UPIN