Chad Mccreary

NPI 1134491376 - Family Medicine - 207Q00000X

NPI Details
NPI 1134491376
Enumeration Date 02/03/2012
Last Updated 02/03/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CHAD CHAD
Position OWNER
Phone (606) 638-4595
Fax (606) 638-9471
Practice Location
412 N LOCK AVE
LOUISA KY, 41230-1115, US
Phone (606) 638-4595
Fax (606) 638-9471
Business Location
412 N LOCK AVE
LOUISA KY, 41230-1115, US
Phone (606) 638-4595
Fax (606) 638-9471
Toxanomy
Taxonomy Code 207Q00000X
License State Kentucky
License Number 02962
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According to our database, Chad Mccreary NPI is 1134491376, taxonomy code is 207Q00000X and license number is 02962, license state is located at Kentucky. Chad Mccreary physically located at 412 N Lock Ave, Louisa KY, 41230-1115. NPI Number 1033115704 has the healthcare provider type.

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1134491376 NPI number is provided on an as is basis without warranty of any kind. 1134491376 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Mccreary are for informational purposes only.