Provider Demographics
NPI:1649441213
Name:KENTUCKIANA CHIROPRACTIC , PSC
Entity type:Organization
Organization Name:KENTUCKIANA CHIROPRACTIC , PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:ALAMPI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:502-348-4600
Mailing Address - Street 1:607 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BARDSTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40004-1742
Mailing Address - Country:US
Mailing Address - Phone:502-348-4600
Mailing Address - Fax:502-348-4600
Practice Address - Street 1:607 N 3RD ST
Practice Address - Street 2:
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004-1742
Practice Address - Country:US
Practice Address - Phone:502-348-4600
Practice Address - Fax:502-348-4600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-21
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center