Selahaddin Hassen Adam

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Richmond, KY

NPI 1043774698 · NPPES record last updated Jan 29, 2019

Key facts

NPI
1043774698
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
521 Lancaster Ave
Richmond, KY 40475-3100
Phone
(859) 622-8149
NPI assigned
Jan 29, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

521 Lancaster Ave
Richmond, KY 40475-3100

Mailing address

440 Benita Dr
Nashville, TN 37211-3546
Phone (615) 243-2532

Other providers in Richmond, KY

All providers in Richmond, KY · Student in an Organized Health Care Education/Training Program in Kentucky

Sources for this page

Verify at the official NPI Registry.