MEDICARE: DR. AARON W. ORNBURN DC

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	5137	KY

General Provider Information

NPI Number	:	1649395658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AARON W. ORNBURN DC

Provider Business Mailing Address
First Line	:	1412 GLORIA TERRELL DR STE 4
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	KY
Zip	:	41076-9102
Country	:	US
Telephone Number	:	859-442-0999
Fax Number	:

Provider Business Practice Location Address
First Line	:	1412 GLORIA TERRELL DR STE 4
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	KY
Zip	:	41076-9102
Country	:	US
Telephone Number	:	859-609-3984
Fax Number	:

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

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	10/31/2008

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