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Individual

TODD Y. CHADWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1700 RING RD, ELIZABETHTOWN, KY 42701-9497
(270) 769-5551
(270) 765-3919
Mailing address
1700 RING RD, ELIZABETHTOWN, KY 42701-9497
(270) 769-5551
(270) 765-3919

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36324
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000365441
ANTHEM BCBS
KY
01
50005009
PASSPORT
KY
05
64034002
KY
01
P00239700
RAILROAD MEDICARE
KY
Enumeration date
05/27/2005
Last updated
03/07/2008
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