NPI 1063862506

Kentucky Blue Medical LLC

Organisation Neuromusculoskeletal Medicine & OMM Physician Louisville, KY

Practice location

Address: 4602 Southern Pkwy STE 1a, Louisville, KY 40214-1442
Phone: (502) 361-1159

Authorised official

Name: Cranston Sheppard
Title: Owner
Phone: (502) 361-1159

Registered specialties

Neuromusculoskeletal Medicine & OMM Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204D00000X

Other Neuromusculoskeletal Medicine & OMM providers in Kentucky →

Registry record

NPI: 1063862506
Entity type: Organization
NPI issued: 15 Jun 2016
Record last updated: 15 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.