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Individual

JOHN L SNELL III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
10614 MEETING ST UNIT 101, PROSPECT, KY 40059-5524
(502) 803-2984
(502) 829-8321
Mailing address
10614 MEETING ST UNIT 101, PROSPECT, KY 40059-5524
(502) 803-2984
(502) 829-8321

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02838
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000557851
ANTHEM/NORTON
01
0413542
CIGNA/NORTON
01
096990
SIHO/NORTON
05
64079122
KY
01
P00626228
RAILROAD-NCMA
KY
Enumeration date
09/12/2005
Last updated
01/30/2026
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