Provider Demographics
NPI:1871800342
Name:MCNEIL, BRYAN PATRICK (DC)
Entity type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:PATRICK
Last Name:MCNEIL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 FERN VALLEY RD STE 13
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40213-3575
Mailing Address - Country:US
Mailing Address - Phone:502-968-7272
Mailing Address - Fax:502-456-5373
Practice Address - Street 1:3101 FERN VALLEY RD STE 13
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40213-3575
Practice Address - Country:US
Practice Address - Phone:502-968-7272
Practice Address - Fax:502-968-7116
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5250111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor