Betty Jean Desjarlais, D.C.
Individual provider Active NPI Chiropractor · Mayfield, KY
NPI 1316960743 · NPPES record last updated Nov 15, 2013
Key facts
- NPI
- 1316960743
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5214 (KY)
- Practice address
- 118 W Broadway
Mayfield, KY 42066-2214 - Phone
- (270) 247-2121
- Fax
- (270) 247-2127
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5214 | KY | MD | Chiropractor |
| 2856 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Chiropractic Clinic | Chiropractor | Past |
Accepting new patients |
| Mayfield Chiropractic Wellness Center,PLLC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5214 | KY | Yes |
Addresses
Primary practice location
118 W Broadway
Mayfield, KY 42066-2214
Mailing address
118 West Bdwy
Mayfield, KY 42066-2314
Phone (270) 247-2121
Other providers in Mayfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.