Provider Demographics
NPI:1215938584
Name:MCCASLIN, DANNY M (DC)
Entity type:Individual
Prefix:DR
First Name:DANNY
Middle Name:M
Last Name:MCCASLIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:966 COMMERCIAL DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-3402
Mailing Address - Country:US
Mailing Address - Phone:859-625-9791
Mailing Address - Fax:859-625-7840
Practice Address - Street 1:966 COMMERCIAL DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-3402
Practice Address - Country:US
Practice Address - Phone:859-625-9791
Practice Address - Fax:859-625-7840
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3991111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000050248OtherANTHEM BC/BS
KY44-00050OtherUNITED HEALTHCARE
KY85001188Medicaid
KYKY 3991OtherWORKERS COMP
KYKY 3991OtherWORKERS COMP
KY85001188Medicaid