Individual
DR. FELTY BLAKE COLWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
815 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-2670
(270) 351-3736
(270) 351-3739
Mailing address
815 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-2670
(270) 351-3736
(270) 351-3739
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3955
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61-1158922
FEDERAL TAX ID
KY
Enumeration date
11/28/2005
Last updated
02/15/2017
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