Provider Demographics
NPI:1972924199
Name:CHIROPRACTIC FIRST, PLLC
Entity type:Organization
Organization Name:CHIROPRACTIC FIRST, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBBIE
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-581-6685
Mailing Address - Street 1:427 REDDING RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-2534
Mailing Address - Country:US
Mailing Address - Phone:859-245-2000
Mailing Address - Fax:859-273-8673
Practice Address - Street 1:427 REDDING RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-2534
Practice Address - Country:US
Practice Address - Phone:859-245-2000
Practice Address - Fax:859-273-8673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-16
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5156111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100086940Medicaid