Provider Demographics
NPI:1902929110
Name:CREMEANS, TODD S (DC)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:S
Last Name:CREMEANS
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 1:73 C MICHAEL DAVENPORT BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-4475
Mailing Address - Country:US
Mailing Address - Phone:502-223-2424
Mailing Address - Fax:502-226-4005
Practice Address - Street 1:73 C MICHAEL DAVENPORT BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4475
Practice Address - Country:US
Practice Address - Phone:502-223-2424
Practice Address - Fax:502-226-4005
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4930111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
6079918Medicare ID - Type Unspecified
KYU95972Medicare UPIN