Provider Demographics
NPI:1649395658
Name:ORNBURN, AARON W (DC)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:W
Last Name:ORNBURN
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 1:1412 GLORIA TERRELL DR STE 4
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND HEIGHTS
Mailing Address - State:KY
Mailing Address - Zip Code:41076-9102
Mailing Address - Country:US
Mailing Address - Phone:859-442-0999
Mailing Address - Fax:
Practice Address - Street 1:1412 GLORIA TERRELL DR STE 4
Practice Address - Street 2:
Practice Address - City:HIGHLAND HEIGHTS
Practice Address - State:KY
Practice Address - Zip Code:41076-9102
Practice Address - Country:US
Practice Address - Phone:859-609-3984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5137111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor