MEDICARE: QUIGLEY CHIROPRACTIC, P.S.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	4979	KY

General Provider Information

NPI Number	:	1679528608
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUIGLEY CHIROPRACTIC, P.S.C.

Provider Business Mailing Address
First Line	:	8211 SHELBYVILLE RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40222-5421
Country	:	US
Telephone Number	:	502-412-4915
Fax Number	:	502-412-4917

Provider Business Practice Location Address
First Line	:	8211 SHELBYVILLE RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40222-5421
Country	:	US
Telephone Number	:	502-412-4915
Fax Number	:	502-412-4917

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KEEGAN QUIGLEY
Credential	:	D.C.
Telephone Number	:	502-412-4915

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	08/22/2020

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