Individual
DR. KYLE WELLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
275 EVANGELINE AVE, LOUISVILLE, KY 40214-3007
(502) 368-9914
Mailing address
275 EVANGELINE AVE, LOUISVILLE, KY 40214-3007
(502) 368-9914
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4955
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000580921
ANTHEM BLUE CROSS BLUE SHIELD
KY
01
—
11470848
CAQH PROVIDER #
KY
05
—
7100050180
—
KY
Enumeration date
06/09/2006
Last updated
11/30/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us