Provider Demographics
NPI:1376906529
Name:DUKEY INCORPORATION
Entity Type:Organization
Organization Name:DUKEY INCORPORATION
Other - Org Name:CLAYS MILL CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FRANGEDAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-223-5527
Mailing Address - Street 1:3320 PARTNER PL
Mailing Address - Street 2:SUITE112
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3628
Mailing Address - Country:US
Mailing Address - Phone:859-223-5527
Mailing Address - Fax:859-223-5527
Practice Address - Street 1:3320 PARTNER PL
Practice Address - Street 2:SUITE112
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-3628
Practice Address - Country:US
Practice Address - Phone:859-223-5527
Practice Address - Fax:859-223-5527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4214111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY350055667Medicaid
KY000000050780OtherANTHEM
KY4400180OtherUNITED HEALTHCARE
KY350055667Medicaid