Healthcare Provider Details

I. General information

NPI: 1104743327
Provider Name (Legal Business Name): SIDNEY HAIL DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 MASTER ST
CORBIN KY
40701-2502
US

IV. Provider business mailing address

PO BOX 2257
DANVILLE KY
40423-2257
US

V. Phone/Fax

Practice location:
  • Phone: 859-374-1479
  • Fax: 551-267-7227
Mailing address:
  • Phone: 859-374-1479
  • Fax: 551-267-7227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number309254
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: