Provider Demographics
NPI:1528595873
Name:KENTUCKY INJURY & REHAB LLC
Entity Type:Organization
Organization Name:KENTUCKY INJURY & REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGSCHIED
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:502-447-9554
Mailing Address - Street 1:5120 DIXIE HWY SUITE 106
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40216
Mailing Address - Country:US
Mailing Address - Phone:502-447-9554
Mailing Address - Fax:502-690-7866
Practice Address - Street 1:5120 DIXIE HWY SUITE 106
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216
Practice Address - Country:US
Practice Address - Phone:502-447-9554
Practice Address - Fax:502-690-7866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-17
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty