MEDICARE: DR. KEVIN JAY BIERLY 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	4568	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00451330	OTHER	KY	RAILROAD MEDICARE

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
2	000000371937	OTHER	KY	ANTHEM PIN NUMBER

General Provider Information

NPI Number	:	1891795548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN JAY BIERLY D.C.

Provider Business Mailing Address
First Line	:	236 E WOODFORD ST
Second Line	:
City	:	LAWRENCEBURG
State	:	KY
Zip	:	40342-1144
Country	:	US
Telephone Number	:	502-859-9075
Fax Number	:	502-859-9076

Provider Business Practice Location Address
First Line	:	236 E WOODFORD ST
Second Line	:
City	:	LAWRENCEBURG
State	:	KY
Zip	:	40342-1144
Country	:	US
Telephone Number	:	502-859-9075
Fax Number	:	502-859-9076

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

Provider Enumeration Date	:	07/25/2005
Last Update Date	:	08/04/2014

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