Healthcare Provider Details

I. General information

NPI: 1295124311
Provider Name (Legal Business Name): CHIROPRACTIC & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2015
Last Update Date: 03/30/2023
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 LOUISVILLE RD
FRANKFORT KY
40601-3305
US

IV. Provider business mailing address

809 LOUISVILLE RD
FRANKFORT KY
40601-3305
US

V. Phone/Fax

Practice location:
  • Phone: 502-803-1393
  • Fax:
Mailing address:
  • Phone: 502-803-1393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DOUGLASS KENT HOWELL
Title or Position: OWNER
Credential: D.O.
Phone: 502-803-1393