Organization
CHAMBERLAIN CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A CHAMBERLAIN MD (OWNER)
(859) 744-0016
Entity
Organization
Contact information
Practice address
2570 BYPASS RD, WINCHESTER, KY 40391-2387
(859) 744-0016
(859) 744-0137
Mailing address
2570 BYPASS RD, WINCHESTER, KY 40391-2387
(859) 744-0016
(859) 744-0137
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051581
ANTHEM-RC
KY
05
—
7100172910
—
KY
05
—
78903655
—
KY
Enumeration date
03/26/2007
Last updated
06/08/2012
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