Individual
CARRIE ROBIN CHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10933 GRISTSTONE CIR, INDEPENDENCE, KY 41051-7596
(859) 991-5597
Mailing address
71 CAVALIER BLVD STE 219, FLORENCE, KY 41042-5170
(859) 991-5597
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
7772
OH
174400000X
Specialist
Primary
KY-2485
KY
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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