MEDICARE: JOHN L SNELL DO, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1477403301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN L SNELL DO, PLLC

Provider Business Mailing Address
First Line	:	10614 MEETING ST UNIT 101
Second Line	:
City	:	PROSPECT
State	:	KY
Zip	:	40059-5524
Country	:	US
Telephone Number	:	502-803-2984
Fax Number	:	502-829-8321

Provider Business Practice Location Address
First Line	:	10614 MEETING ST UNIT 101
Second Line	:
City	:	PROSPECT
State	:	KY
Zip	:	40059-5524
Country	:	US
Telephone Number	:	502-803-2984
Fax Number	:	502-829-8321

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN SNELL
Credential	:
Telephone Number	:	502-803-2984

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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