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Individual

DR. JAMES ALVIN CHANEY

Active
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Individual

DR. JAMES ALVIN CHANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28914
KY
208VP0000X
Pain Medicine Physician
28914
KY
208VP0014X
Interventional Pain Medicine Physician
28914
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000485374
ANTHEM GROUP NUMBER
KY
01
0751
MEDICARE FACILITY GROUP NUMBER
KY
01
1780728881
MEDICARE PHYSICIAN GROUP NUMBER
KY
05
64289143
KY
01
65945461
MEDICAID GROUP #
KY
Enumeration date
05/17/2006
Last updated
01/09/2013
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