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Contact Information

DESTINY EASLEY
3617 CHURCH ST
COVINGTON, KY41015-1430
 Phone: 859-206-7805
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for DESTINY EASLEY · (Female)

NPI # 1023854858
Status Active
Credentials
Entity Individual
Enumeration date 07/02/2024
Last updated 07/01/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • KY License # TCA034
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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