Functional Imaging and Assessment of Kentucky PSC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3754 Issued in KY

Legal business name

FUNCTIONAL IMAGING AND ASSESSMENT OF KENTUCKY PSC

Practice address

1015 Dupont Rd.
Louisville, KY 40207-4610

Phone

(502) 897-5181

Fax

(502) 897-5122

NPI assigned

Sep 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Craig A. Mueller, D.C.

Title

Director

Phone

(502) 897-5181

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Functional Imaging of Kentucky Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1073605903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 DUPONT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074610",
            "telephone_number": "502-897-5181",
            "fax_number": "502-897-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 DUPONT RD.",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074610",
            "telephone_number": "502-897-5181",
            "fax_number": "502-897-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL IMAGING AND ASSESSMENT OF KENTUCKY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "502-897-5181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "3754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "000000203972",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Functional Imaging of Kentucky",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen Rosella Fulton-Fox, ASSOCIATE
• Mallory Fulton
• Rodney Brent Fultz, DMD DENTIST
• Sharon Lee Fultz
• Raphael Fumey, PHD
• Functional Therapy, PLLC
• Kelli Carpenter Funk, PHARM.D.
• Natalie Funk
• Christine A. Funkhouser, PT
• Eric Quinn Fuqua, RADPSS

• Chiropractor in Louisville, KY
• Providers in Louisville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.