Individual provider · Type 1 NPI
Charles Leon Boulton, DC
Chiropractor · La Center, KY
NPI number
1801163522
Active
Practice location
245 Broadway
La Center, KY 42056
Fax (270) 665-5568
Mailing address
PO Box 805, 245 Broadway
La Center, KY 42056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3628 R (KY) |
Chiropractor: 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.
About NPI 1801163522
Charles Leon Boulton, DC's National Provider Identifier is 1801163522, issued on Nov 23, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in La Center, KY. The record was last updated on Nov 23, 2011.