Individual
MR. JASON ERIC SNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
2257 HIGHWAY 1481, WILLIAMSBURG, KY 40769-9158
(606) 521-6331
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373H00000X
—
KY
Enumeration date
12/06/2017
Last updated
12/06/2017
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