Individual
SARA CHASTEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
60 BRYAN BLVD STE 200, CORBIN, KY 40701-2781
(606) 528-1172
(606) 528-7169
Mailing address
5200 COMMERCE CROSSING, 3RD FLOOR, LOUISVILLE, KY 40229-2182
(502) 253-4900
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2069
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100387510
—
KY
01
—
P01564509
RAILROAD MEDICARE
KY
Enumeration date
10/28/2015
Last updated
12/02/2020
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