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General NPI Number Information
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NPI Number | 1285965087
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Entity Type | Organization
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Legal Business Name | PHYSICIANS PRACTICE MANAGEMENT
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Dates
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Enumeration Date | 01/19/2010
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Last Update Date | 01/19/2010
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Provider Practice Location Address
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Address Line | 6814 BROOK BEND WAY
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City | LOUISVILLE
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State | KY
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Zip | 40229-2386
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Country | US
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Telephone | 502-377-3016
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Fax |
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Provider Business Mailing Address
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Address Line | 6814 BROOK BEND WAY
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City | LOUISVILLE
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State | KY
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Zip | 40229-2386
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Country | US
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Telephone | 502-377-3016
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEVEN WAYNE LOWERY
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Credential |
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Telephone | 502-377-3016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 3607R
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License Number State | KY
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