Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4419 | KY |
N | 111NR0400X | Rehabilitation Chiropractor | 4419 | KY |
NPI | 1306923909 |
---|---|
Provider Name | Dr. Sheila Lynn Bowling-Herald |
First Address | Highland Heights, KY 41076-1317 |
Second Address | Highland Heights, KY 41076 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 25/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
85001550 | (05) | KY |