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Individual

BRADWELL SCOTT CHANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
126 TRIVETTE DRIVE, SUITE 101, PIKEVILLE, KY 41501
(606) 432-0003
(606) 432-0076
Mailing address
126 TRIVETTE DRIVE, SUITE 101, PIKEVILLE, KY 41501
(606) 432-0003
(606) 432-0076

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
240
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80002405
KY
Enumeration date
04/19/2006
Last updated
02/25/2015
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