Healthcare Provider Details

I. General information

NPI: 1215938584
Provider Name (Legal Business Name): DANNY M. MCCASLIN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 09/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

966 COMMERCIAL DR
RICHMOND KY
40475-3402
US

IV. Provider business mailing address

966 COMMERCIAL DR
RICHMOND KY
40475-3402
US

V. Phone/Fax

Practice location:
  • Phone: 859-625-9791
  • Fax: 859-625-7840
Mailing address:
  • Phone: 859-625-9791
  • Fax: 859-625-7840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3991
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: