Provider Demographics
NPI:1851653414
Name:O'NAN, LINDSAY (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:
Last Name:O'NAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 E BRANNON RD
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-8060
Mailing Address - Country:US
Mailing Address - Phone:859-971-0370
Mailing Address - Fax:859-971-0650
Practice Address - Street 1:197 E BRANNON RD
Practice Address - Street 2:
Practice Address - City:NICHOLASVILLE
Practice Address - State:KY
Practice Address - Zip Code:40356-8060
Practice Address - Country:US
Practice Address - Phone:859-971-0370
Practice Address - Fax:859-971-0650
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5330111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1851653414OtherNPI