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Contact Information

REGINALD EZELL, CADC
1017 W MARKET ST
LOUISVILLE, KY40202
 Phone: 502-585-4848
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for REGINALD EZELL · (Male)

NPI # 1184162224
Status Active
Credentials CADC
Entity Individual
Enumeration date 02/09/2017
Last updated 02/09/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 119916
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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