| West Port Chiropractic | |
|
9407 Westport Rd, Suite 110, Louisville, KY 40241-2299 | |
| (502) 326-5000 | |
| (502) 326-5054 |
| Full Name | West Port Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 9407 Westport Rd, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033277298 | NPI | - | NPPES |
| 1C 9371 | Other | KY | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4773 (Kentucky) | Primary |
| Provider Name | Randall A Wheeler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992990683 PECOS PAC ID: 2365343985 Enrollment ID: I20040116000584 |
| Mailing Address | Practice Location Address |
|---|---|
| West Port Chiropractic 9425 Westport Road, Louisville, KY 40241-2219 Ph: (502) 326-5000 | West Port Chiropractic 9407 Westport Rd, Suite 110, Louisville, KY 40241-2299 Ph: (502) 326-5000 |
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