Individual
TROY CHEESEMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
7459 BURLINGTON PIKE, FLORENCE, KY 41042-1553
(859) 282-6585
Mailing address
502 FARRELL DR, COVINGTON, KY 41011-3717
(859) 331-3292
(859) 578-2864
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184607
MEDICARE GROUP NUMBER
KY
Enumeration date
06/08/2006
Last updated
07/08/2007
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