Individual
DR. DONALD BRENT CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
850 HAIL KNOB RD, STE A, SOMERSET, KY 42503-3418
(606) 678-4288
(606) 678-2230
Mailing address
850 HAIL KNOB RD, STE A, SOMERSET, KY 42503-3418
(606) 678-4288
(606) 678-2230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38122
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306491
ANTHEM PROVIDER NUMBER
KY
05
—
64072192
—
KY
Enumeration date
06/21/2005
Last updated
09/27/2012
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