# CHAD MCCREARY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134491376
- **Authorized official:** DR. CHAD MCCREARY DO (OWNER)
- **Authorized official phone:** (606) 638-4595

## Contact information

- **Practice address:** 412 N LOCK AVE, LOUISA, KY 41230-1115
- **Practice address phone:** (606) 638-4595
- **Practice address fax:** (606) 638-9471
- **Mailing address:** 412 N LOCK AVE, LOUISA, KY 41230-1115
- **Mailing address phone:** (606) 638-4595
- **Mailing address fax:** (606) 638-9471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02962 | KY | Yes |

## Other

- **Enumeration date:** 02/03/2012
- **Last updated:** 02/03/2012