Provider Demographics
NPI:1659519585
Name:DR. NANCI L. ALLEN, DC, PSC, INC
Entity Type:Organization
Organization Name:DR. NANCI L. ALLEN, DC, PSC, INC
Other - Org Name:BETTER HEALTH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCI
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-578-0550
Mailing Address - Street 1:2351 BUTTERMILK XING
Mailing Address - Street 2:
Mailing Address - City:CRESCENT SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-1622
Mailing Address - Country:US
Mailing Address - Phone:859-578-0550
Mailing Address - Fax:859-578-0915
Practice Address - Street 1:2351 BUTTERMILK XING
Practice Address - Street 2:
Practice Address - City:CRESCENT SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:41017-1622
Practice Address - Country:US
Practice Address - Phone:859-578-0550
Practice Address - Fax:859-578-0915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY85000891Medicaid
KY85000891Medicaid