Active NPI
Wisdom Chiropractic Center, Inc
- Chiropractor
- Crestwood, KY
National Provider Identifier
1770705378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4139
- Legal business name
- WISDOM CHIROPRACTIC CENTER, INC
- Practice address
- 7400 E Kilgus Cir
Crestwood, KY 40014-9447 - Phone
- (502) 241-1499
- NPI assigned
- May 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kathleen Wisdom, D.C.
- Title
- President
- Phone
- (502) 241-1499
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4139 | KY | Primary |
Addresses
Primary practice location
7400 E Kilgus Cir
Crestwood, KY 40014-9447
Mailing address
7400 East Kilgus Circle
Crestwood, KY 40014
Phone (502) 241-1499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7400 E Kilgus Cir
Crestwood, KY 40014
Phone (502) 241-1499
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internist Chiropractor
- Crestwood, KY
- NPI 1316005937
-
- Chiropractor
- Louisville, KY
- NPI 1982678140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522281600000",
"number": "1770705378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 EAST KILGUS CIRCLE",
"city": "CRESTWOOD",
"state": "KY",
"postal_code": "40014",
"telephone_number": "502-241-1499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 E KILGUS CIR",
"city": "CRESTWOOD",
"state": "KY",
"postal_code": "400149447",
"telephone_number": "502-241-1499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISDOM CHIROPRACTIC CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2018-03-29",
"status": "A",
"authorized_official_last_name": "WISDOM",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "502-241-1499",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "KY",
"license": "4139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crestwood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.