Provider Demographics
NPI:1174512784
Name:KINGTON, JAMES MCMINNUS (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:MCMINNUS
Last Name:KINGTON
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 1:258 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-2558
Mailing Address - Country:US
Mailing Address - Phone:270-825-4100
Mailing Address - Fax:270-825-4960
Practice Address - Street 1:258 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:KY
Practice Address - Zip Code:42431-2558
Practice Address - Country:US
Practice Address - Phone:270-825-4100
Practice Address - Fax:270-825-4960
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4180111N00000X
AR1262111N00000X
SC1133111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000051857OtherANTHEM BLUE CROSS
350042997OtherRAILROAD MEDICARE
350042997OtherRAILROAD MEDICARE
6081001Medicare ID - Type Unspecified