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Dr. Clyde Alvin Miller SR., DC,PHC
Chiropractor in Owensboro, Kentucky
NPI 1598847485

Clyde Alvin Miller SR. is a Chiropractor based in Owensboro, KY. Clyde Alvin Miller SR. practices in Owensboro, KY and has the professional credentials of DC,PHC. The NPI Number for Clyde Alvin Miller SR. is 1598847485 and holds a License No. 2428 (Kentucky).

The current practice location address for Clyde Alvin Miller SR. is 3701 Frederica St, Owensboro, KY and can be reached out via phone at 270-683-9551 and via fax at 270-685-2225.

Location: 3701 Frederica St, Owensboro, KY, 42301-6975
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598847485
Provider Name
Clyde Alvin Miller SR.
Credential
DC,PHC
Provider Entity Type
Individual
Gender
Male
Address
3701 Frederica St, Owensboro, KY, 42301-6975
Phone Number
270-683-9551
Fax Number
270-685-2225
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000039747 01 KY ANTHEM PROVIDER ID
10805021 01 KY CAQH PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
3701 Frederica St
City
Owensboro
State
Kentucky
Zip
42301-6975
Phone Number
270-683-9551
Fax Number
270-685-2225
person
Provider Business Mailing Address Details
Address
3701 Frederica St
City
Owensboro
State
Kentucky
Zip
42301-6975
Phone Number
270-683-9551
Fax Number
270-685-2225
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2428 (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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