| Alliance Chiropractic Of Se, Llc | |
|
10701 W Manslick Rd, Fairdale, KY 40118-9581 | |
| (502) 367-2112 | |
| (502) 367-7799 |
| Full Name | Alliance Chiropractic Of Se, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 10701 W Manslick Rd, Fairdale, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831255116 | NPI | - | NPPES |
| 000000108878 | Other | KY | ANTHEM |
| 350053484 | Other | KY | RAILROAD MEDICARE |
| 1150522 | Other | KY | PASSPORT MEDICAID |
| 85001568 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4056 (Kentucky) | Primary |
| Provider Name | Mosen R Khani |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467520783 PECOS PAC ID: 0446274336 Enrollment ID: I20060118000688 |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Chiropractic Of Se, Llc 10701 W Manslick Road, Fairdale, KY 40118 Ph: (502) 367-2112 | Alliance Chiropractic Of Se, Llc 10701 W Manslick Rd, Fairdale, KY 40118-9581 Ph: (502) 367-2112 |
Dr. Mosen Rashid Khani, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 10701 W. Manslick Rd., Fairdale, KY 40118 Phone: 502-367-2112 Fax: 502-367-7799 | |
Christopher David Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10701 W Manslick Rd, Fairdale, KY 40118 Phone: 502-367-2112 Fax: 502-367-7799 |