MEDICARE: ORCHARD CHIROPRACTIC CENTER

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	3926	KY

General Provider Information

NPI Number	:	1396905378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORCHARD CHIROPRACTIC CENTER

Provider Business Mailing Address
First Line	:	100 JOHN SUTHERLAND DR
Second Line	:	SUITE 1
City	:	NICHOLASVILLE
State	:	KY
Zip	:	40356-2424
Country	:	US
Telephone Number	:	859-887-1855
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 JOHN SUTHERLAND DR
Second Line	:	SUITE 1
City	:	NICHOLASVILLE
State	:	KY
Zip	:	40356-2424
Country	:	US
Telephone Number	:	859-887-1855
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL J. KEATING
Credential	:	D.C.
Telephone Number	:	859-887-1855

Provider Enumeration Date	:	06/12/2008
Last Update Date	:	06/12/2008

Similar Medicare Providers

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Practice Location Address:

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Practice Location Address:

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1306083498 — APPALACHIAN ANESTHESIA AND ANALGESIA SERVICES PLLC
Practice Location Address:

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1184927477 — DR. KERRIE ANNE CIEPLY D.C.
Practice Location Address:

100 JOHN SUTHERLAND DR , SUITE 1B
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Practice Fax: 859-887-0804

Directions to “ORCHARD CHIROPRACTIC CENTER ” Practice Location

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