Individual
CELYSSE MACKEY VAN ZYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
310 S LIMESTONE STE A1A, LEXINGTON, KY 40508-3008
(859) 257-3573
(859) 323-0096
Mailing address
310 S LIMESTONE STE A1A, LEXINGTON, KY 40508-3008
(859) 257-3573
(859) 323-0096
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
04689
KY
208100000X
Physical Medicine & Rehabilitation Physician
04689
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2017
Last updated
10/05/2023
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