Robert Ray Boardman IV, DC - Louisville, KY

Robert Ray Boardman IV, DC

Chiropractor in Louisville, Kentucky

NPI 1467459529

Robert Ray Boardman IV is a Chiropractor based in Louisville, KY. Robert Ray Boardman IV practices in Louisville, KY and has the professional credentials of DC. The NPI Number for Robert Ray Boardman IV is 1467459529 and holds a License No. 4366 (Kentucky).

The current practice location address for Robert Ray Boardman IV is 12464 La Grange Rd, Louisville, KY and can be reached out via phone at 502-205-2090 and via fax at 502-205-2091.

Location: 12464 La Grange Rd, Louisville, KY, 40245-1901

NPI Number

1467459529

Provider Name

Robert Ray Boardman IV

Credential

Provider Entity Type

Individual

Gender

Male

Address

12464 La Grange Rd, Louisville, KY, 40245-1901

Phone Number

502-205-2090

Fax Number

502-205-2091

Provider Enumeration Date

07/05/2005

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
000000192198	01	KY	ANTHEM BCBS
000000088188	01	KY	CHA
7646218	01	KY	AETNA

Address

12464 La Grange Rd

City

Louisville

State

Kentucky

Zip

40245-1901

Phone Number

502-205-2090

Fax Number

502-205-2091

Address

12464 La Grange Rd

City

Louisville

State

Kentucky

Zip

40245-1901

Phone Number

502-205-2090

Fax Number

502-205-2091

Type

Chiropractic Providers

Classification

Chiropractor

Speciality

Taxonomy

111N00000X

License No.

4366 (Kentucky)

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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