Individual
SHERRY LYNN CHEGWIDDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
936 PUTNAM ST, NEWPORT, KY 41071-1440
(859) 261-0041
Mailing address
936 PUTNAM ST, NEWPORT, KY 41071-1440
(859) 261-0041
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.109110-M-IV
KY
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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