MEDICARE: LIFESTYLE RESUMPTION INTEGRATIVE HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1962444653
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFESTYLE RESUMPTION INTEGRATIVE HEALTH

Provider Business Mailing Address
First Line	:	2182 DIXIE HWY
Second Line	:
City	:	FT MITCHELL
State	:	KY
Zip	:	41017-2902
Country	:	US
Telephone Number	:	859-344-6001
Fax Number	:	859-344-6005

Provider Business Practice Location Address
First Line	:	2182 DIXIE HWY
Second Line	:
City	:	FT MITCHELL
State	:	KY
Zip	:	41017-2902
Country	:	US
Telephone Number	:	859-344-6001
Fax Number	:	859-344-6005

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KLAUDE P KOCAN
Credential	:	DC
Telephone Number	:	859-344-6001

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	10/07/2019

Similar Medicare Providers

1164428546 — DR. KLAUDE P KOCAN D.C.
Practice Location Address:

2182 DIXIE HWY
FT MITCHELL, KY
41017-2902

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1346204005 — LYNN CURTIS SHEWMAKER O.D.
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1568556132 — RYAN MICHAEL SUBLER O.D.
Practice Location Address:

2174 DIXIE HWY
FT MITCHELL, KY
41017-2902

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1265734370 — CAROLYN ELIZABETH KALLMEYER APRN
Practice Location Address:

2150 DIXIE HWY
FT MITCHELL, KY
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1104112176 — MRS. KAREN M SCHNEIDER CNP
Practice Location Address:

2150 DIXIE HWY
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