Organization
DANA S CHITWOOD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA S. CHITWOOD OD (OPTOMETRIST)
(606) 258-8888
Entity
Organization
Contact information
Practice address
60 S STEWART RD, CORBIN, KY 40701-4675
(606) 258-8888
(606) 523-5596
Mailing address
60 S STEWART RD, CORBIN, KY 40701-4675
(606) 258-8888
(606) 523-5596
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1700DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100025430
—
KY
Enumeration date
04/25/2008
Last updated
05/28/2008
Update your record
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