Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 3824 | KY |
Y | 111NR0400X | Rehabilitation Chiropractor | 3824 | KY |
NPI | 1336156298 |
---|---|
Provider Name | Dr. Douglas Kent Howell |
First Address | Frankfort, KY 40601 |
Second Address | Frankfort, KY 40601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 18/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000213463 | ANTHEM (01) | KY |
85000560 | (05) | KY |
T54464 | (02) |