| Segen Tella, DC | |
|
13012 Shelbyville Rd, Louisville, KY 40243-1541 | |
| (502) 253-6770 | |
| Not Available |
| Full Name | Segen Tella |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 13012 Shelbyville Rd, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356125793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 287484 (Kentucky) | Primary |
| Provider Name | Middletown Family Chiropractic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174945091 PECOS PAC ID: 8820227853 Enrollment ID: O20140214000600 |
| Mailing Address | Practice Location Address |
|---|---|
| Segen Tella, DC 8504 Running Spring Dr, Louisville, KY 40241-5514 Ph: (502) 333-4877 | Segen Tella, DC 13012 Shelbyville Rd, Louisville, KY 40243-1541 Ph: (502) 253-6770 |
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