Individual
SELAHADDIN HASSEN ADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
521 LANCASTER AVE, RICHMOND, KY 40475-3100
(859) 622-8149
Mailing address
440 BENITA DR, NASHVILLE, TN 37211-3546
(615) 243-2532
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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