Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 5136 | KY |
NPI | 1003063066 |
---|---|
Provider Name | Dr. Jamie Nicole Ornburn |
First Address | Highland Heights, KY 41076-9102 |
Second Address | Highland Heights, KY 41076-9102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2008 |
Last Update Date | 07/05/2010 |