Doctor Name: | ANA C. MORENO |
NPI Number: | 1902817570 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | 4798 |
Business Practice Address: | 841 Us Hwy 25w South Ste 5 Williamsburg, KY - 40769 |
Business Phone Number: | 6065490123 |
Business Fax Number: | 6065495995 |
Mailing Address: | 841 Us Hwy 25w South, Ste 5 WILLIAMSBURG |
State: | KY |
Postal Code: | 40769 |
Phone Number: | 6065490123 |
Fax Number: | 6065495995 |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 4798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |