Provider Demographics
NPI:1922129378
Name:DONALD R NEEL, MD
Entity Type:Organization
Organization Name:DONALD R NEEL, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:NEEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-926-9821
Mailing Address - Street 1:2816 VEACH RD
Mailing Address - Street 2:BLDG 2
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-6295
Mailing Address - Country:US
Mailing Address - Phone:270-926-9821
Mailing Address - Fax:270-926-9867
Practice Address - Street 1:2816 VEACH RD
Practice Address - Street 2:BLDG 2
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-6295
Practice Address - Country:US
Practice Address - Phone:270-926-9821
Practice Address - Fax:270-926-9867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY13868174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64138688Medicaid
KY64138688Medicaid