Individual
MARA DEON CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-5661
Mailing address
2333 ALUMNI PARK PLZ, SUITE 200, LEXINGTON, KY 40517-4012
(859) 218-5677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31021
KY
207RH0003X
Hematology & Oncology Physician
Primary
31021
KY
207RX0202X
Medical Oncology Physician
31021
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64310212
—
KY
Enumeration date
08/11/2006
Last updated
12/10/2012
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