Provider Demographics
NPI:1366591737
Name:PATEL, PINKESH (DC)
Entity type:Individual
Prefix:DR
First Name:PINKESH
Middle Name:
Last Name:PATEL
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 1:302 FALLS ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-2804
Mailing Address - Country:US
Mailing Address - Phone:606-878-9300
Mailing Address - Fax:606-878-8932
Practice Address - Street 1:302 FALLS ST
Practice Address - Street 2:SUITE A
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-2804
Practice Address - Country:US
Practice Address - Phone:606-878-9300
Practice Address - Fax:606-878-8932
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY4582111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYC87018OtherCHI (CUMBERLAND HEALTH)
KY1195092OtherCHA
KY85001857Medicaid
KY000000223765OtherANTHEM
KY0023000OtherUNITED HEALTH
KY641318OtherBLUEGRASS FAMILY HEALTH
KYU85748Medicare UPIN
KYC87018OtherCHI (CUMBERLAND HEALTH)