Healthcare Provider Details

I. General information

NPI: 1174727465
Provider Name (Legal Business Name): COMPLETE CHIROPRACTIC OF COVINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 12/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

638 MAIN ST
COVINGTON KY
41011-1653
US

IV. Provider business mailing address

146 BURDSALL AVE
FORT MITCHELL KY
41017-2826
US

V. Phone/Fax

Practice location:
  • Phone: 859-261-9261
  • Fax: 859-261-9262
Mailing address:
  • Phone: 859-578-0825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number4320
License Number StateKY

VIII. Authorized Official

Name: DR. DEBRA KAY SAVIGNANO
Title or Position: PRESIDENT - CHIROPRACTOR
Credential: D.C.
Phone: 859-261-9261