Provider Demographics
NPI:1629393616
Name:PRICE FAMILY CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:PRICE FAMILY CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-624-2222
Mailing Address - Street 1:133 S KILLARNEY LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-2309
Mailing Address - Country:US
Mailing Address - Phone:859-624-2222
Mailing Address - Fax:859-624-7222
Practice Address - Street 1:133 S KILLARNEY LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2309
Practice Address - Country:US
Practice Address - Phone:859-624-2222
Practice Address - Fax:859-624-7222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-01
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5223111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty