Provider Demographics
NPI:1225380686
Name:DELL, BRIAN AXEL (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:AXEL
Last Name:DELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7921 BARBOUR MANOR DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-1550
Mailing Address - Country:US
Mailing Address - Phone:502-439-0061
Mailing Address - Fax:
Practice Address - Street 1:7921 BARBOUR MANOR DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-1550
Practice Address - Country:US
Practice Address - Phone:502-439-0061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4743111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor