Healthcare Provider Details

I. General information

NPI: 1033317680
Provider Name (Legal Business Name): LOUISVILLE INJURY, MEDICAL AND CHIROPRACTIC CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6470 N PRESTON HWY SUITE 4
LOUISVILLE KY
40229-5407
US

IV. Provider business mailing address

6470 N PRESTON HWY SUITE 4
LOUISVILLE KY
40229-5407
US

V. Phone/Fax

Practice location:
  • Phone: 502-955-2050
  • Fax: 502-955-3101
Mailing address:
  • Phone: 502-955-2050
  • Fax: 502-955-3101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NT0100X
TaxonomyThermography Chiropractor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: JARL KLEINMAN
Title or Position: ORGANIZER
Credential: D.C.
Phone: 502-955-2050