Healthcare Provider Details

I. General information

NPI: 1366770372
Provider Name (Legal Business Name): CAWLEYS ASSOCIATES IN CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2009
Last Update Date: 01/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

926 DONALDSON HWY
ERLANGER KY
41018-1073
US

IV. Provider business mailing address

926 DONALDSON HWY
ERLANGER KY
41018-1073
US

V. Phone/Fax

Practice location:
  • Phone: 859-525-2222
  • Fax: 859-525-0999
Mailing address:
  • Phone: 859-525-2222
  • Fax: 859-525-0999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3843
License Number StateKY

VIII. Authorized Official

Name: MARK CAWLEY
Title or Position: PRESIDENT
Credential: DC
Phone: 859-525-2222