Individual
DR. MICHAEL DATHAN CHESNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9517 US HIGHWAY 42, PROSPECT, KY 40059-9237
(502) 767-1248
(502) 587-3884
Mailing address
9517 US HIGHWAY 42, PROSPECT, KY 40059-9237
(502) 214-8131
(502) 587-3884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40644
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821127333
NPI
KY
Enumeration date
03/02/2007
Last updated
12/03/2021
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