Healthcare Provider Details

I. General information

NPI: 1588587992
Provider Name (Legal Business Name): CHIROGO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 PEPPER DR
LEXINGTON KY
40511-2072
US

IV. Provider business mailing address

231 PEPPER DR
LEXINGTON KY
40511-2072
US

V. Phone/Fax

Practice location:
  • Phone: 502-370-6225
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MR. JEREMY L AMERINE
Title or Position: OWNER
Credential: DC
Phone: 502-370-6225