Healthcare Provider Details

I. General information

NPI: 1932211075
Provider Name (Legal Business Name): HARRY JULES BELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 11/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 SAINT CHRISTOPHER DR STE. 200
ASHLAND KY
41101-7087
US

IV. Provider business mailing address

PO BOX 2155
ASHLAND KY
41105-2155
US

V. Phone/Fax

Practice location:
  • Phone: 606-324-4102
  • Fax: 606-327-5625
Mailing address:
  • Phone: 606-833-4681
  • Fax: 606-833-4668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number30825
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number30825
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: