Provider Demographics
NPI:1871540054
Name:POUND FAMILY CHIROPRACTIC INC
Entity type:Organization
Organization Name:POUND FAMILY CHIROPRACTIC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:POUND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:270-881-1005
Mailing Address - Street 1:1202 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-5001
Mailing Address - Country:US
Mailing Address - Phone:270-881-1005
Mailing Address - Fax:270-881-4067
Practice Address - Street 1:1202 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-5001
Practice Address - Country:US
Practice Address - Phone:270-881-1005
Practice Address - Fax:270-881-4067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100202550Medicaid
KY7100202550Medicaid