1659519031 NPI number — WOLFORD CHIROPRACTIC & WELLNESS CENTER

Table of content: MRS. MELINDA KATHLEEN KAPLAFKA NP-C (NPI 1831346865)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659519031 NPI number — WOLFORD CHIROPRACTIC & WELLNESS CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WOLFORD CHIROPRACTIC & WELLNESS CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659519031
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/09/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1379
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOUNT WASHINGTON
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40047-1379
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-594-2504
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
138 EASTBROOKE COURT
Provider Second Line Business Practice Location Address:
SUITE 130
Provider Business Practice Location Address City Name:
MOUNT WASHINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40047
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-538-0222
Provider Business Practice Location Address Fax Number:
502-538-0282
Provider Enumeration Date:
01/23/2009

Additional Information

Authorized Official

Authorized Official Last Name:
WOLFORD
Authorized Official First Name:
JASON
Authorized Official Middle Name:
RODNEY
Authorized Official Title or Position:
MEMBER
Authorized Official Telephone Number:
502-594-2504

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  5164 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00911 . This is a "PTAN" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




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