Organization Active NPI

Klondike Chiropractic Medical Center LLC

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1619391844
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KLONDIKE CHIROPRACTIC MEDICAL CENTER LLC
Practice address
3616 Klondike LN
Louisville, KY 40218-1711
Phone
(502) 804-3344
NPI assigned
Feb 7, 2014
Last updated
Feb 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Miochael Kowalski
Title
Presidente
Phone
(502) 804-3344

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

3616 Klondike LN
Louisville, KY 40218-1711

Mailing address

3616 Klondike LN
Louisville, KY 40218-1711

National Provider Directory

National Provider Directory

Locations

3616 Klondike Ln
Louisville, KY 40218
Phone (305) 857-7940

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1619391844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 KLONDIKE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 KLONDIKE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181711",
            "telephone_number": "502-804-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLONDIKE CHIROPRACTIC MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "MIOCHAEL",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "502-804-3344"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.