Provider Demographics
NPI:1871552786
Name:LUKING, JASON WHEELER (DC)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:WHEELER
Last Name:LUKING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 TWIN OAKS CIR # 2
Mailing Address - Street 2:A
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-8447
Mailing Address - Country:US
Mailing Address - Phone:502-875-3200
Mailing Address - Fax:502-875-2425
Practice Address - Street 1:103 TWIN OAKS CIR # 2
Practice Address - Street 2:A
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-8447
Practice Address - Country:US
Practice Address - Phone:502-875-3200
Practice Address - Fax:502-875-2425
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4706111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY85003507Medicaid
KY0989301Medicare PIN