MEDICARE: DR. DAVID ALAN POE D.C.

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	4373	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649301284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ALAN POE D.C.

Provider Business Mailing Address
First Line	:	909 W 9TH ST STE A
Second Line	:
City	:	RUSSELLVILLE
State	:	KY
Zip	:	42276-9764
Country	:	US
Telephone Number	:	270-726-4600
Fax Number	:

Provider Business Practice Location Address
First Line	:	909 W 9TH ST STE A
Second Line	:
City	:	RUSSELLVILLE
State	:	KY
Zip	:	42276-9764
Country	:	US
Telephone Number	:	270-726-4600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	03/30/2020

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