Provider Demographics
NPI:1316994882
Name:KHOURY, GEORGE E (DC)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:E
Last Name:KHOURY
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 1:3131 MILLERS RUN RD
Mailing Address - Street 2:
Mailing Address - City:CECIL
Mailing Address - State:PA
Mailing Address - Zip Code:15321-1264
Mailing Address - Country:US
Mailing Address - Phone:412-220-1800
Mailing Address - Fax:412-220-2400
Practice Address - Street 1:3131 MILLERS RUN RD
Practice Address - Street 2:
Practice Address - City:CECIL
Practice Address - State:PA
Practice Address - Zip Code:15321-1264
Practice Address - Country:US
Practice Address - Phone:412-220-1800
Practice Address - Fax:412-220-2400
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006033L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor