Provider Demographics
NPI:1669429056
Name:POUND, SHEILA RAE (DC)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:RAE
Last Name:POUND
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 1:1202 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-5001
Mailing Address - Country:US
Mailing Address - Phone:270-881-1005
Mailing Address - Fax:270-881-4067
Practice Address - Street 1:1202 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-5001
Practice Address - Country:US
Practice Address - Phone:270-881-1005
Practice Address - Fax:270-881-4067
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4436111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000598706OtherBCBS
KY7100008270Medicaid
KY7100008270Medicaid