Provider Demographics
NPI:1679537195
Name:NOHR, ADRIAN D (DC)
Entity Type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:D
Last Name:NOHR
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 1:1506 N DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-2609
Mailing Address - Country:US
Mailing Address - Phone:270-765-2244
Mailing Address - Fax:270-765-2485
Practice Address - Street 1:1506 N DIXIE HWY
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-2609
Practice Address - Country:US
Practice Address - Phone:270-765-2244
Practice Address - Fax:270-765-2485
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4740111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY85003010Medicaid
KY000000502350OtherANTHEM
KY50004280OtherPASSPORT
KY50013896OtherPASSPORT
KY85003010Medicaid
KY00250001Medicare PIN