| John L Snell DO, PLLC | |
|
10614 Meeting St Unit 101 Prospect KY 40059-5524 | |
| (502) 803-2984 | |
| (502) 829-8321 |
| Full Name | John L Snell DO, PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 10614 Meeting St Unit 101, Prospect, Kentucky |
| Authorized Official Name and Position | John Snell (OWNER) |
| Authorized Official Contact | 5028032984 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John L Snell DO, PLLC 10614 Meeting St Unit 101 Prospect KY 40059-5524 Ph: (502) 803-2984 | John L Snell DO, PLLC 10614 Meeting St Unit 101 Prospect KY 40059-5524 Ph: (502) 803-2984 |
| NPI Number | 1477403301 |
|---|---|
| Provider Enumeration Date | 01/30/2026 |
| Last Update Date | 01/30/2026 |
| Certification Date | 01/30/2026 |
| Medicare PECOS PAC ID | 5193295939 |
|---|---|
| Medicare Enrollment ID | O20260521003860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477403301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | John L Snell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275528739 PECOS PAC ID: 1850378951 Enrollment ID: I20040707000320 |
| Provider Name | Kristin N Baisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588068498 PECOS PAC ID: 1052533379 Enrollment ID: I20141120001609 |
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