MEDICARE: HALL FAMILY CHIROPRACTIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor		KY

General Provider Information

NPI Number	:	1235194762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HALL FAMILY CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	2520 HIKES LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40218-1468
Country	:	US
Telephone Number	:	502-458-2365
Fax Number	:

Provider Business Practice Location Address
First Line	:	2520 HIKES LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40218-1468
Country	:	US
Telephone Number	:	502-458-2365
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. FLOYD DANIEL HALL
Credential	:	D.C.
Telephone Number	:	502-415-5123

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	08/24/2023

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