Provider Demographics
NPI:1699700997
Name:LEONE, ELLEN FRANCES (DC)
Entity type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:FRANCES
Last Name:LEONE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8131 US 42
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-9634
Mailing Address - Country:US
Mailing Address - Phone:859-371-3071
Mailing Address - Fax:859-371-0312
Practice Address - Street 1:8131 US 42
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-9634
Practice Address - Country:US
Practice Address - Phone:859-371-3071
Practice Address - Fax:859-371-0312
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4103111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY8896Medicare PIN
KY6103402Medicare PIN