Provider Demographics
NPI:1457657751
Name:STARNES, NICHOLAS CAINE (DC)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:CAINE
Last Name:STARNES
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 1:507 S L ROGERS WELLS BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:GLASGOW
Mailing Address - State:KY
Mailing Address - Zip Code:42141-1043
Mailing Address - Country:US
Mailing Address - Phone:270-834-8922
Mailing Address - Fax:270-834-1730
Practice Address - Street 1:507 S L ROGERS WELLS BLVD
Practice Address - Street 2:STE A
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-1043
Practice Address - Country:US
Practice Address - Phone:270-834-8922
Practice Address - Fax:270-834-1730
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-03
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2481111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor