Provider Demographics
NPI:1801984786
Name:SNEAD, KEVIN LEE (DC)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:LEE
Last Name:SNEAD
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 1:109 BRAXTON LN W
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-1210
Mailing Address - Country:US
Mailing Address - Phone:615-889-2040
Mailing Address - Fax:615-889-1020
Practice Address - Street 1:519 DONELSON PIKE STE 107
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-3700
Practice Address - Country:US
Practice Address - Phone:615-889-2040
Practice Address - Fax:615-889-1020
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC1232111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4073727OtherBLUE CROSS BLUE SHIELD
TN6269243OtherCIGNA
TNU56842Medicare UPIN
TN4073727OtherBLUE CROSS BLUE SHIELD