Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 4988 | KY |
NPI | 1245319037 |
---|---|
Provider Name | Dr. Raymond Russell Uhlmansiek |
First Address | Burlington, KY 41005-7981 |
Second Address | Florence, KY 41042-1198 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 16/09/2010 |