Individual provider Active NPI

Kylan Gill

  • Chiropractor
  • Mt Washington, KY
National Provider Identifier
1992653893
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
306510 Issued in KY
Practice address
10880 Highway 44 E Ste 200
Mount Washington, KY 40047-7279
Phone
(502) 313-7200
Fax
(502) 413-2103
NPI assigned
Mar 18, 2026
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 306510 KY Primary

Addresses

Primary practice location

10880 Highway 44 E Ste 200
Mount Washington, KY 40047-7279

Mailing address

3407 Fern Valley Rd
Louisville, KY 40213-3529
Phone (502) 961-9355

Other practice location 1

3407 Fern Valley Rd
Louisville, KY 40213-3529
Phone (502) 961-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260623000449 KY Practitioner - Chiropractic 8729551692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3407 Fern Valley Rd
Louisville, KY 40213-3529

6736 Carribean LN
Louisville, KY 40219-2278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306510KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Chiropractic and Massage Inc Chiropractor CurrentSince May 6, 2026 Accepting new patients

Locations

3407 Fern Valley Rd
Louisville, KY 40213
Phone (502) 961-9355

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1992653893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 FERN VALLEY RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402133529",
            "telephone_number": "502-961-9355",
            "fax_number": "502-961-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10880 HIGHWAY 44 E STE 200",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "400477279",
            "telephone_number": "502-313-7200",
            "fax_number": "502-413-2103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3407 Fern Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402133529",
            "country_code": "US",
            "telephone_number": "502-961-9355",
            "fax_number": "502-961-9357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "KYLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "306510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Washington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.