Provider Demographics
NPI:1487892063
Name:HENDRIX, BRIAN KEITH (DC)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:KEITH
Last Name:HENDRIX
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 1:201 BRIGHTON PARK BLVD # 4
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-3717
Mailing Address - Country:US
Mailing Address - Phone:502-695-4455
Mailing Address - Fax:502-695-0727
Practice Address - Street 1:201 BRIGHTON PARK BLVD # 4
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-3717
Practice Address - Country:US
Practice Address - Phone:502-695-4455
Practice Address - Fax:502-695-0727
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5173111N00000X
KYKY5173111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor