MEDICARE: MCNEVIN CHIROPRACTIC

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	3876	KY

General Provider Information

NPI Number	:	1659495869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCNEVIN CHIROPRACTIC

Provider Business Mailing Address
First Line	:	3735 PALOMAR CENTRE DR
Second Line	:	SUITE 140
City	:	LEXINGTON
State	:	KY
Zip	:	40513-1147
Country	:	US
Telephone Number	:	859-296-4889
Fax Number	:

Provider Business Practice Location Address
First Line	:	3735 PALOMAR CENTRE DR
Second Line	:	SUITE 140
City	:	LEXINGTON
State	:	KY
Zip	:	40513-1147
Country	:	US
Telephone Number	:	859-296-4889
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES DIAMOND MCNEVIN
Credential	:	D.C.
Telephone Number	:	859-296-4889

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	08/22/2020

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