Robert    Barnes    DC
Contract Details
Ancillary Care Services
Facility name
Provider ID
P000005674
NPI
1942398649
Tax ID
753020145
Effective Date
4/1/2012
Last Updated
10/10/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
140 Redwing Drive
Winchester, KY 40391
United States
County
Clark
Phone
8597447319 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address