Provider Demographics
NPI:1336156298
Name:HOWELL, DOUGLAS KENT (DC)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:KENT
Last Name:HOWELL
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 1:809 LOUISVILLE RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601
Mailing Address - Country:US
Mailing Address - Phone:502-330-2808
Mailing Address - Fax:502-352-4417
Practice Address - Street 1:809 LOUISVILLE RD
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601
Practice Address - Country:US
Practice Address - Phone:502-330-2808
Practice Address - Fax:502-352-4417
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3824111N00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY85000560Medicaid
KY000000213463OtherANTHEM
KY85000560Medicaid
KY000000213463OtherANTHEM