| NPI Details | |
|---|---|
| NPI | 1134491376 |
| Enumeration Date | 02/03/2012 |
| Last Updated | 02/03/2012 |
| Entity Type | Healthcare Provider |
| Active | Over 5 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 |
| Remove 1134491376 NPI Number | |
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.
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