DR. KYLE WELLINGTON D.C. NPI 1003857376

NPI Information

NPI: 1003857376
Provider Name: DR. KYLE WELLINGTON, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
275 EVANGELINE AVE
LOUISVILLE, KY
ZIP 40214
Phone: (502) 368-9914
Get Directions

DR. Kyle Wellington, D.C. is a chiropractor in Louisville, KY. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Kyle Wellington, D.C. NPI is 1003857376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

275 EVANGELINE AVE
LOUISVILLE, KY
ZIP 40214-007
Phone: (502) 368-9914

The enumeration date for this NPI number is 6/9/2006 and was last updated on 11/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		4955	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11470848	OTHER	KENTUCKY	CAQH PROVIDER #
2	1973201	MEDICARE OSCAR/CERTIFICATION	KENTUCKY
3	1003857376	MEDICARE PIN	KENTUCKY
4	000000580921	OTHER	KENTUCKY	ANTHEM BLUE CROSS BLUE SHIELD
5	7100050180	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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