Healthcare Provider Details

I. General information

NPI: 1578649620
Provider Name (Legal Business Name): DAVID ANDREW NEVILLE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 THOMAS MORE PKWY STE 201A
CRESTVIEW HILLS KY
41017-3456
US

IV. Provider business mailing address

320 THOMAS MORE PKWY STE 201A
CRESTVIEW HILLS KY
41017-3456
US

V. Phone/Fax

Practice location:
  • Phone: 859-426-1100
  • Fax: 859-426-0809
Mailing address:
  • Phone: 859-426-1100
  • Fax: 859-426-0809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number248917
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number50566100
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: