Provider Demographics
NPI:1548913882
Name:HERRON, DAVID DUANE (DC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:DUANE
Last Name:HERRON
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 1:295 NOELLE LN
Mailing Address - Street 2:
Mailing Address - City:EAST BERNSTADT
Mailing Address - State:KY
Mailing Address - Zip Code:40729-6245
Mailing Address - Country:US
Mailing Address - Phone:606-312-1561
Mailing Address - Fax:
Practice Address - Street 1:41 OLD POND RD
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-7314
Practice Address - Country:US
Practice Address - Phone:606-864-1444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY275493111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor